Individual
MAXWELL SCOTT DITLEVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 E EAGER ST, BALTIMORE, MD 21202-5533
(410) 522-9800
Mailing address
600 N WOLFE ST, CARNEGIE 180, BALTIMORE, MD 21287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25852
MD
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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