Organization
DRS HICKEN CRANLEY TAYLOR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN HANSEN (AUTHORIZED OFFICIAL)
(410) 644-4379
Entity
Organization
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 644-4379
Mailing address
2360 W JOPPA RD STE 224, LUTHERVILLE, MD 21093-4664
(410) 644-4379
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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