Organization
BLUEZONE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARIAS VASILIOS MAVROPHILIPOS MD (MEMBER)
(410) 779-9609
Entity
Organization
Contact information
Practice address
405 N PACA ST, BALTIMORE, MD 21201
(410) 779-9609
(443) 552-4758
Mailing address
405 N PACA ST, BALTIMORE, MD 21201-1815
(410) 779-9609
(443) 552-4758
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
D0050622
MD
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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