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Individual

DR. NEVINS W TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 705-5246
(410) 705-7915
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 705-5246
(410) 705-7915

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
F30784
MD
207RP1001X
Pulmonary Disease Physician
F30784
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037119300
DC
05
1245272095
DE
05
446121500
MD
01
525336-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/12/2006
Last updated
02/14/2013
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