Organization
CAREFIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIN NOWACKI (LCC)
(410) 430-4267
Entity
Organization
Contact information
Practice address
1505 MAY DR, SALISBURY, MD 21804-7258
(410) 430-4267
Mailing address
1505 MAY DR, SALISBURY, MD 21804-7258
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
163W00000X
MD
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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