Organization
WYE OAK CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALAN CLINE III (PRESIDENT)
(443) 509-3860
Entity
Organization
Contact information
Practice address
1937 LANSDOWNE RD, HALETHORPE, MD 21227
(410) 536-0555
(410) 536-0231
Mailing address
1937 LANSDOWNE RD, HALETHORPE, MD 21227
(410) 536-0555
(410) 536-0231
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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