Organization
BALTIMORE COUNTY MARYLAND
Active
Other names
Dept of Health - Liberty Resource Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONIA ROSS (MEDICAL BILLING MANAGER)
(410) 887-0684
Entity
Organization
Contact information
Practice address
3525 RESOURCE DR, RANDALLSTOWN, MD 21133-4733
(410) 887-0600
(410) 377-9646
Mailing address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212-2130
(410) 887-2077
(410) 377-9646
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420937100
—
MD
Enumeration date
01/06/2012
Last updated
08/28/2024
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