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Organization

WILLIAM DANDO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM DANDO MD (MEDICAL DIRECTOR)
(410) 455-6196
Entity
Organization

Contact information

Practice address
405 FREDERICK RD, ST 200, BALTIMORE, MD 21228-4645
(410) 455-6196
Mailing address
405 FREDERICK RD, ST 200, BALTIMORE, MD 21228-4645
(410) 455-6196

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D50835
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156702100
MD
01
F204-001
BC - DC METRO
DC
01
LV93WI - 54335806
BC - MD
MD
Enumeration date
10/09/2009
Last updated
10/12/2009
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