Organization
SHOCK TRAUMA ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L ANDERSON (REIMBURSEMENT MANAGER)
(410) 328-7007
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
(443) 462-3129
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-7007
(443) 462-3129
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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