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Organization

GOMEZ YIM & RASTOGI, M.D., P.A.

Active
Other names
Bel Air Pediatric Center Havre de Grace Pediatric Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT PHILLIP YIM I M.D. (OWNER)
(410) 838-9555
Entity
Organization

Contact information

Practice address
602 S ATWOOD RD STE 104, BEL AIR, MD 21014-4198
(410) 838-9555
(410) 836-5056
Mailing address
602 S. ATWOOD ROAD, SUITE 104, BEL AIR, MD 21014
(410) 838-9555
(410) 836-5056

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226381500
MD
Enumeration date
03/16/2007
Last updated
11/12/2024
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