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Individual

MR. FRANTZ PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 502-0444
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR12109300
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00308100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
R192160
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038110100
MD
Enumeration date
05/11/2010
Last updated
01/29/2011
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