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Organization

BALTIMORE RENAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL ORPTIN (OFFICE MANAGER)
(410) 433-0040
Entity
Organization

Contact information

Practice address
5820 YORK RD, SUITE 102, BALTIMORE, MD 21212-3610
(410) 433-0040
(410) 630-1043
Mailing address
5820 YORK RD, SUITE 102, BALTIMORE, MD 21212-3610
(410) 433-0040
(410) 630-1043

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362911200
MD
01
KS46BA
CAREFIRST BCBS
MD
Enumeration date
02/08/2007
Last updated
05/26/2010
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