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Organization

NORTH BAY ENT & AUDIOLOGY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MALVASO (ADMINISTRATOR)
(410) 879-9100
Entity
Organization

Contact information

Practice address
9114 PHILADELPHIA RD STE 108, BALTIMORE, MD 21237-4346
(410) 879-9100
Mailing address
520 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4339
(410) 879-9100
(410) 638-0408

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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