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Organization
DUNKIRK SPECIALIST CARE
Active
Organization
DUNKIRK SPECIALIST CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRIE BALLENGER (ADMINISTRATOR)
(301) 423-4551
Entity
Organization
Contact information
Practice address
2972 PENWICK LN, DUNKIRK, MD 20754-9403
(301) 423-4551
Mailing address
4333 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-1848
(301) 423-4551
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
MD
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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