Organization
VAN DYKE AND BACON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN JOSEPH BACON C.PED (VP)
(410) 433-1100
Entity
Organization
Contact information
Practice address
5919 YORK RD, SUITEB, BALTIMORE, MD 21212-3027
(410) 433-1100
(410) 435-6934
Mailing address
5919 YORK RD, SUITEB, BALTIMORE, MD 21212-3027
(410) 433-1100
(410) 435-6934
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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