Organization
MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC.
Active
Other names
Mid-Towne Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. M. SUSAN MATTHEWSON (COORDINATOR)
(410) 347-3000
Entity
Organization
Contact information
Practice address
11 E MOUNT ROYAL AVE, THE TOWNE BLDG LOWER LEVEL, BALTIMORE, MD 21202-2714
(410) 347-3000
(410) 539-3676
Mailing address
11 EAST MOUNT ROYAL AVE, THE TOWNE BLDG LOWER LEVEL, BALTIMORE, MD 21202-2714
(410) 347-3000
(410) 539-3676
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D0006489
MD
Other
Enumeration date
05/04/2007
Last updated
07/25/2007
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