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Organization
UNIVERISTY OF MARYLAND MEDICINE CENTER
Active
Organization
UNIVERISTY OF MARYLAND MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GOTTLEIB MD (VICE PRESIDENT AND CHIEF MEDICAL)
(410) 328-6858
Entity
Organization
Contact information
Practice address
29 S GREENE ST # GS100, BALTIMORE, MD 21201-1504
(410) 328-6435
Mailing address
6515 BLVD EAST APT 6G, WEST NEW YORK, NJ 07093-4205
(917) 504-9441
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
01069523A
IN
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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