# MARYLAND MEDICAL REHABILITATION, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942578919
- **Authorized official:** DR. DORISCINE LENAY COLLEY M.D. (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (410) 685-1188

## Contact information

- **Practice address:** 2530 N CHARLES ST, SUITE 102, BALTIMORE, MD 21218-4640
- **Practice address phone:** (410) 685-1188
- **Practice address fax:** (410) 685-1889
- **Mailing address:** PO BOX 6553, COLUMBIA, MD 21045-6553
- **Mailing address phone:** (410) 685-1188
- **Mailing address fax:** (410) 685-1889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0046464 | MD | Yes |

## Other

- **Enumeration date:** 12/06/2011
- **Last updated:** 12/06/2011