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Individual

POOJA RAJENDRA DESHPANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1734 MARYLAND AVE STE 200, BALTIMORE, MD 21201-5804
(877) 674-2843
Mailing address
1734 MARYLAND AVE STE 200, BALTIMORE, MD 21201-5804

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
08/20/2019
Last updated
08/20/2019
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