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Individual

SUJA ROY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN, CRNP

Contact information

Practice address
2700 N CHARLES ST, BALTIMORE, MD 21218-4300
(410) 766-1995
(410) 761-6095
Mailing address
8028 RITCHIE HWY, SUITE 210B, PASADENA, MD 21122-1075
(410) 766-1995
(410) 761-6095

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R139820
MD

Other

Enumeration date
05/26/2006
Last updated
07/08/2007
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