Organization
PINNACLE DIABETES MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN AARON KOTLER MS, RD, CDE (PROGRAM MANAGER)
(410) 409-6992
Entity
Organization
Contact information
Practice address
867 E LOMBARD ST, BALTIMORE, MD 21202-4510
(410) 409-6992
(866) 538-6990
Mailing address
867 E LOMBARD ST, BALTIMORE, MD 21202-4510
(410) 409-6992
(866) 538-6990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX2666
MD
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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