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Individual

EDWARD WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-7008
Mailing address
PO BOX 64255, BALTIMORE, MD 21264-4255
(410) 550-7008

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D55600
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278006200
MD
Enumeration date
07/06/2006
Last updated
02/21/2013
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