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Organization

DR. DARLYNE CANGE, DPM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARLYNE CANGE DPM (DPM/PODIATRIC PHYSICIAN & SURGEON)
(410) 733-4770
Entity
Organization

Contact information

Practice address
1701 EUTAW PL, SUITE 140, BALTIMORE, MD 21217-3765
(410) 733-4770
Mailing address
PO BOX 1606, ELLICOTT CITY, MD 21041-1606
(410) 733-4770

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
01457
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002XD
BLUE CROSS BLUE SHIELD OF MARYLAND
MD
01
018750060
MARYLAND PHYSICIAN CARE
MD
01
201922
JOHN HOPKINS/PRIORITY PARTNERS/EMPLOYER HEALTH/UNIFORMED SERVICES FAMILY HEALTH
MD
01
3175526
UNITED HEALTH CARE
MD
05
415343000
MD
01
7278
BRAVO/ELDER HEALTH
MD
01
9443167
AETNA
MD
01
D364
BLUE CROSS BLUE SHIELD-GHMSI
MD
01
P00645864 AND DN9160
RAILROAD MEDICARE
MD
Enumeration date
10/31/2008
Last updated
02/19/2009
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