Individual
GRACE E HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 MEDICAL PARKWAY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1687
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6482
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D67472
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018219200
—
MD
01
—
607156012
DEPT OF LABOR
—
01
—
94160402
CAREFIRST
—
01
—
V8260027
CAREFIRST
—
Enumeration date
05/16/2008
Last updated
12/24/2013
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