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Organization

UNIVERSITY OF MARYLAND EMERGENCY MEDICINE ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAVONDA L WILLIAMS (CORPORATE DIRECTOR, PROFESSIONAL)
(667) 214-1485
Entity
Organization

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
Mailing address
PO BOX 73276, BALTIMORE, MD 21273-3276
(301) 631-8103
(301) 631-1002

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
381221900
MD
Enumeration date
05/16/2006
Last updated
08/02/2024
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