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Organization

BLACKBIRD CLINICAL SERVICES OF THE MID-ATLANTIC, PC

Active
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Organization

BLACKBIRD CLINICAL SERVICES OF THE MID-ATLANTIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL TANG MD (CHIEF MEDICAL OFFICER)
(617) 821-3816
Entity
Organization

Contact information

Practice address
1475 TANEY AVE STE 102, FREDERICK, MD 21702-5126
(301) 276-7031
(610) 770-1805
Mailing address
1475 TANEY AVE STE 102, FREDERICK, MD 21702-5126
(301) 276-7031
(610) 770-1805

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/25/2026
Last updated
08/25/2026
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