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Organization

NEW ERA WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY RENNA THOMAS (CREDENTIALING SPECIALIST)
(410) 661-9552
Entity
Organization

Contact information

Practice address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394
Mailing address
5411 OLD FREDERICK RD STE 2, BALTIMORE, MD 21229-2126
(410) 775-6394

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
261QM0850X
Adult Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
11/15/2022
Last updated
05/06/2025
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