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Individual

DR. SAMUEL JOHN WESTRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6080 FALLS RD, SUITE 204, BALTIMORE, MD 21209
(410) 323-2757
(410) 323-2715
Mailing address
6080 FALLS RD, SUITE 204, BALTIMORE, MD 21209
(410) 323-2757
(410) 323-2715

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0028625
MD
207Q00000X
Family Medicine Physician
Primary
D28625
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
335641800
MD
Enumeration date
05/23/2006
Last updated
04/14/2010
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