Organization
BRIAN E MONDELL, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E MONDELL MD (DIRECTOR)
(410) 321-4558
Entity
Organization
Contact information
Practice address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(410) 276-1773
(410) 276-2056
Mailing address
2331 OLD COURT RD, SUITE 405, BALTIMORE, MD 21208-3422
(410) 321-4558
(410) 494-1047
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
D0032496
MD
Other
Enumeration date
08/11/2010
Last updated
10/01/2010
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