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Organization
MAYOR AND CITY COUNCIL OF BALTIMORE
Active
Organization
MAYOR AND CITY COUNCIL OF BALTIMORE
Active
Parent organization
MAYOR AND CITY COUNCIL OF BALTIMORE
Other names
Booker T Washington Telemedicine, Baltimore City Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAYOR AND CITY COUNCIL OF BALTIMORE
Authorized official
TYRONE ALONZO CHAPMAN (BILLING & REVENUE MGR.)
(410) 396-8000
Entity
Organization
Contact information
Practice address
1301 MCCULLOH ST, BALTIMORE, MD 21217-3044
(410) 396-7734
Mailing address
1001 E FAYETTE ST, BALTIMORE, MD 21202-4715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/03/2023
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