Organization
DENIS W. MACDONALD, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS W. MACDONALD M.D. (PRESIDENT)
(410) 276-1764
Entity
Organization
Contact information
Practice address
2801 HUDSON ST, SUITE C, BALTIMORE, MD 21224-4998
(410) 276-1764
Mailing address
2801 HUDSON ST, SUITE C, BALTIMORE, MD 21224-4998
(410) 276-1764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5550
MEDICARE PTAN
MD
Enumeration date
06/11/2010
Last updated
06/11/2010
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