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Organization

M & S KULATHUNGAM MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MANORANJITHAM KULATHUNGAM MD (VICE PRESIDENT & SECRETARY)
(410) 668-3000
Entity
Organization

Contact information

Practice address
8020 BELAIR ROAD, BALTIMORE, MD 21236
(410) 668-3000
Mailing address
8020 BELAIR ROAD, BALTIMORE, MD 21236
(410) 668-3000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D15634
MD
208000000X
Pediatrics Physician
D0020188
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46718300
MD
Enumeration date
10/28/2006
Last updated
02/07/2008
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