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Individual

DR. CHRISTOPHER ISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7671 QUARTERFIELD RD, SUITE 401, GLEN BURNIE, MD 21061-4998
(443) 270-6760
(410) 760-4830
Mailing address
3100 WYMAN PARK DR, BALTIMORE, MD 21211-2803

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D53283
MD
208000000X
Pediatrics Physician
D53283
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
822000000
MD
Enumeration date
09/08/2006
Last updated
05/09/2013
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