Organization
UNIVERSITY OF MARYLAND FAMILY MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY A MADDOCK (SR. ADMINISTRATOR)
(410) 328-2832
Entity
Organization
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-2832
(410) 328-0020
Mailing address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-2832
(410) 328-0020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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