Organization
BARENBURG OPTOMETRIC SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B GORDON (PRESIDENT)
(410) 752-1677
Entity
Organization
Contact information
Practice address
100 PARK AVE, BALTIMORE, MD 21201-3416
(410) 752-1677
Mailing address
100 PARK AVE, BALTIMORE, MD 21201-3416
(410) 752-1677
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0074366
MD
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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