Organization
UNIVERSITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL SIEGEL (CHIEF MEDICAL DIRECTOR)
(410) 328-1700
Entity
Organization
Contact information
Practice address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 328-1700
(410) 362-1748
Mailing address
PO BOX 64888, BALTIMORE, MD 21264-4888
(800) 889-4939
(301) 631-1002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482300100
—
MD
Enumeration date
07/30/2006
Last updated
11/28/2011
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