Organization
FAMILY & CHILDREN'S SERVICES OF CENTRAL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY LEVI (EXECUTIVE DIRECTOR)
(410) 366-1980
Entity
Organization
Contact information
Practice address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518801600
—
MD
Enumeration date
07/18/2008
Last updated
06/18/2021
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