Individual
MARY KAY EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CANTON AVE, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21229
(410) 368-3045
Mailing address
9910 FRANKLIN SQUARE DR, STE 2110, BALTIMORE, MD 21236-4902
(516) 626-6366
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0041059
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765011600
—
MD
Enumeration date
07/07/2005
Last updated
07/03/2019
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