Individual
DR. SALLY MAE PINKSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, SUITE 21, BALTIMORE, MD 21215-5216
(410) 601-5961
(410) 601-9390
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 558-5234
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D58652
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D58652
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110248857
R/R MEDICARE PROVIDER #
MD
05
—
362230400
—
MD
01
—
CA8374
R/R MEDICARE GROUP #
MD
Enumeration date
06/04/2006
Last updated
06/17/2011
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