Organization
UNIVERSITY OF MARYLAND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA CANNON MCINTOSH MD (PAIN MEDICINE FELLOW)
(917) 796-9584
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(917) 796-9584
Mailing address
13909 GLENLIVET GRV, LAUREL, MD 20707-6912
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD444693
PA
282N00000X
General Acute Care Hospital
MTI91355
PA
Other
Enumeration date
01/10/2008
Last updated
08/27/2012
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