Organization
E.PASMANIK, MD, LLC
Active
Other names
Provita Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIRA PASMANIK MD (PRESIDENT)
(443) 739-8040
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD, RANDALLSTOWN, MD 21133-5100
(410) 521-4211
(410) 521-0627
Mailing address
5400 OLD COURT RD, RANDALLSTOWN, MD 21133-5100
(410) 521-4211
(410) 521-0627
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0059228
MD
Other
Enumeration date
08/14/2007
Last updated
02/24/2014
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