Organization
STEPHANIE DURRUTHY,M.D.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE SUSAN DURRUTHY M.D. (OWNER)
(410) 992-0272
Entity
Organization
Contact information
Practice address
5074 DORSEY HALL DR, SUITE 105, ELLICOTT CITY, MD 21042-7792
(410) 992-0272
(410) 964-0048
Mailing address
5074 DORSEY HALL DR, SUITE 105, ELLICOTT CITY, MD 21042-7792
(410) 992-0272
(410) 964-0048
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
D36443
MD
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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