Organization
MICHAEL R MARDINEY JR MD PA
Active
Other names
Mardiney Asthma Allergy and Immunology Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RALPH MARDINEY JR. MD (PRESIDENT)
(410) 461-7660
Entity
Organization
Contact information
Practice address
3105 N RIDGE RD, ELLICOTT CITY, MD 21043-3348
(410) 461-7660
Mailing address
PO BOX 490, RIDERWOOD, MD 21139-0490
(410) 461-7660
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
07/17/2008
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