Individual
DR. MATILDA NANA AMBA HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 SAINT PAUL PL, POB 718, BALTIMORE, MD 21202-2102
(410) 332-9356
(410) 783-5884
Mailing address
301 SAINT PAUL PL, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
(410) 659-2802
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0078377
MD
Other
Enumeration date
05/13/2008
Last updated
09/09/2014
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