Organization
CATONSVILLE PRIMARY CARE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY L SULLIVAN (ADMINISTRATOR)
(410) 788-6565
Entity
Organization
Contact information
Practice address
405 FREDERICK RD, SUITE 210, CATONSVILLE, MD 21228-4645
(410) 788-6565
(410) 747-4688
Mailing address
405 FREDERICK RD, SUITE 210, CATONSVILLE, MD 21228-4645
(410) 788-6565
(410) 747-4688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/29/2005
Last updated
09/11/2025
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