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Organization
SHOCK TRAUMA ASSOCIATES, P.A.
Active
Organization
SHOCK TRAUMA ASSOCIATES, P.A.
Active
Other names
Shock Trauma Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY COLLIC (DIRECTOR OF PROFESSIONAL FEES)
(667) 214-1334
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4214
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/05/2006
Last updated
01/06/2026
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