Organization
CKNMG
Active
Other names
Closeknit (Urgent Care), Wheel
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE FAVAZZA (CEO)
(410) 205-1487
Entity
Organization
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 233-6925
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 233-6925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/12/2025
Last updated
01/20/2026
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