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Individual

DR. LEROY MILTON NYBERG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
126 W LAFAYETTE AVE, BALTIMORE, MD 21217-4209
(410) 728-1238
Mailing address
126 W LAFAYETTE AVE, BALTIMORE, MD 21217-4209
(410) 728-1238

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0023696
MD

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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