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Individual

MS. CARMEL A. MCCOMISKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6897
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4742
(410) 328-6897
(410) 328-2109

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R067457
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099
CAREFIRST REGIONAL
MD
05
406453400
MD
01
64359501
BLUE SHIELD
MD
Enumeration date
07/27/2006
Last updated
03/12/2012
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