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Individual

DR. PAMELA JAYNE AMELUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 705-5762
(410) 705-7915
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 705-5762
(410) 705-7915

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D39414
MD
207RP1001X
Pulmonary Disease Physician
Primary
D39414
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
064521400
MD
05
1215998281
DE
01
52070603
BC/BS
MD
05
5851858
VA
Enumeration date
03/30/2006
Last updated
11/05/2010
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