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Organization

UPPER CROSSROADS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SALVACION GARIN LAZATIN M.D. (PHYSICIAN/PARTNER)
(410) 557-9191
Entity
Organization

Contact information

Practice address
2412 BALDWIN MILL RD, FALLSTON, MD 21047
(410) 557-9191
(410) 557-9191
Mailing address
2412 BALDWIN MILL RD, FALLSTON, MD 21047
(410) 557-9191
(410) 557-9191

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/30/2015
Last updated
11/30/2015
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