Organization
PARK MEDICAL ASSOCIATES NON-PAR LLC
Active
Organization
PARK MEDICAL ASSOCIATES NON-PAR LLC
Active
Parent organization
PARK MEDICAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK MEDICAL ASSOCIATES LLC
Authorized official
JOHN AUCOTT (MEMBER)
(410) 583-7124
Entity
Organization
Contact information
Practice address
10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515
(410) 583-7101
Mailing address
10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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