Organization
ATLANTIC MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD COHEN (MANAGING MEMBER)
(410) 469-9837
Entity
Organization
Contact information
Practice address
6717 PARK HEIGHTS AVE LOWR LEVEL, BALTIMORE, MD 21215-2443
(410) 764-6764
(410) 363-1272
Mailing address
6717 PARK HEIGHTS AVE LOWR LEVEL, BALTIMORE, MD 21215-2443
(410) 764-6764
(410) 363-1272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272901600
—
MD
Enumeration date
12/16/2018
Last updated
12/16/2018
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