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Organization

MARTIN Z. KANNER, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN ZELIG KANNER MD (OFFICER)
(410) 486-0927
Entity
Organization

Contact information

Practice address
1700 REISTERSTOWN RD, SUITE 224, BALTIMORE, MD 21208-1416
(410) 486-0927
(410) 358-4020
Mailing address
1700 REISTERSTOWN RD, SUITE 224, BALTIMORE, MD 21208-1416
(410) 486-0927
(410) 358-4020

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
D0020618
MD
261QP2000X
Physical Therapy Clinic/Center
D0020618
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D0020618
STATE LICENSE
MD
Enumeration date
03/23/2006
Last updated
09/11/2025
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