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Organization

JOHN W. MIDDLETON, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MIDDLETON M.D. (PHYSICIAN)
(410) 857-8202
Entity
Organization

Contact information

Practice address
688C POOLE RD, WESTMINSTER, MD 21157-6003
(410) 857-8202
Mailing address
3525 HALTER RD, WESTMINSTER, MD 21158-1901
(410) 857-8202

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D25443
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
337321500
MD
01
DE6582
MEDICARE RAILROAD
MD
Enumeration date
03/23/2007
Last updated
05/04/2009
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