Organization
JEAN ALBERT MIDY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ALBERT MIDY MD PA (OWNER)
(410) 997-9255
Entity
Organization
Contact information
Practice address
1940 W BALTIMORE ST, BALTIMORE, MD 21223-2245
(410) 298-8223
(410) 298-8225
Mailing address
11441 HIGH HAY DR, COLUMBIA, MD 21044-1027
(410) 997-9255
(410) 298-8225
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0026720
MD
Other
Enumeration date
05/12/2007
Last updated
10/29/2007
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