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Organization

JOHNS HOPKINS UNIVERSITY

Active
Other names
Kennedy Krieger Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVECK BALUJA M.D. (FELLOW PEDIATRIC NEUROLOGY AND DEV)
(443) 923-9162
Entity
Organization

Contact information

Practice address
707 N BROADWAY, 103B, BALTIMORE, MD 21205-1832
(409) 750-1843
Mailing address
1020 PARK AVE APT 903, BALTIMORE, MD 21201-5645
(409) 750-1843

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Enumeration date
01/19/2007
Last updated
08/22/2020
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