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Organization
ANNAPOLIS-BOWIE CARDIOVASCULAR PC
Active
Organization
ANNAPOLIS-BOWIE CARDIOVASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR KLOTEY COLLISON MD (OWNER/PHYSICIAN)
(410) 263-0799
Entity
Organization
Contact information
Practice address
1204 WEST ST, ANNAPOLIS, MD 21401-3610
(410) 263-0799
(410) 263-4021
Mailing address
1204 WEST ST, ANNAPOLIS, MD 21401-3610
(410) 263-0799
(410) 263-4021
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D0026765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639248347
INDIVIDUAL NPI
MD
01
—
2629
BLUE CHOICE
MD
01
—
64152
UNITED HEALTCARE
MD
01
—
70RMHK
CAREFIRST BLUE CROSS
MD
Enumeration date
08/16/2007
Last updated
02/05/2008
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