Organization
MARYLAND TREATMENT CENTERS, INC.
Active
Parent organization
MARYLAND TREATMENT CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Authorized official
DR. MARC J. FISHMAN MD (PSYCHIATRIST)
(410) 233-1400
Entity
Organization
Contact information
Practice address
3800 FREDERICK AVE, BALTIMORE, MD 21229-3618
(410) 233-1400
(410) 233-1666
Mailing address
3800 FREDERICK AVE, BALTIMORE, MD 21229-3618
(410) 233-1400
(410) 233-1666
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
MD
2084P0800X
Psychiatry Physician
—
MD
2084P0802X
Addiction Psychiatry Physician
D0038913
MD
2084P0804X
Child & Adolescent Psychiatry Physician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203102700
—
MD
Enumeration date
05/01/2008
Last updated
05/01/2008
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