Organization
UNIVERSITY OF MARYLAND BALTIMORE
Active
Other names
Governor's Wellmobile Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE ANTOL MS, RN (PROGRAM DIRECTOR)
(410) 706-5395
Entity
Organization
Contact information
Practice address
8011 NEW HAMPSHIRE AVE, MOBILE UNIT, HYATTSVILLE, MD 20783-4612
(866) 228-9668
(410) 706-5145
Mailing address
655 W LOMBARD ST, SUITE 425B, BALTIMORE, MD 21201-1512
(410) 706-5395
(410) 706-0140
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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