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Organization
IDEAL ENDOCRINOLOGY LLC
Active
Organization
IDEAL ENDOCRINOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINA CORNELIA FRATILA MD (FOUNDER/PRESIDENT)
(443) 847-5511
Entity
Organization
Contact information
Practice address
3000 CHESTNUT AVE STE 202, BALTIMORE, MD 21211-2794
(443) 842-4825
Mailing address
7 CHARLESBROOKE RD, BALTIMORE, MD 21212-1205
(443) 847-5511
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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