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Individual

EDWARD LELAND BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPAS, PA-C

Contact information

Practice address
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237-4373
(443) 559-5063
(443) 559-5078
Mailing address
500 FRANKLIN AVE, ESSEX, MD 21221-6719
(410) 574-0410

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01302
MD

Other

Enumeration date
03/21/2006
Last updated
04/29/2016
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