Organization
CAOST GUARD YARD
Active
Organization
CAOST GUARD YARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON E FULCHER (MEDICAL ADMINISTARTOR)
(410) 636-3183
Entity
Organization
Contact information
Practice address
2401 HAWKINS POINT RD, CURTIS BAY, MD 21226-1797
(410) 636-3183
(410) 636-7868
Mailing address
2401 HAWKINS POINT RD, CURTIS BAY, MD 21226-1797
(410) 636-3183
(410) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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