Organization
KESWICK MULTI-CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET STINE AO (ADMINISTRATOR)
(410) 662-4293
Entity
Organization
Contact information
Practice address
700 W 40TH ST, BALTIMORE, MD 21211-2104
(410) 235-8860
(410) 235-7425
Mailing address
700 W 40TH ST, BALTIMORE, MD 21211-2104
(410) 235-8860
(410) 235-7425
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
32-039
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30935
RAILROAD PROVIDER #
MD
Enumeration date
04/30/2007
Last updated
02/04/2020
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