Organization
PEOPLE'S COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CASSATT MS (CHIEF EXECUTIVE OFFICER)
(410) 467-6040
Entity
Organization
Contact information
Practice address
3011 GREENMOUNT AVE, BALTIMORE, MD 21218-3939
(410) 467-6040
Mailing address
2524 KIRK AVE, BALTIMORE, MD 21218-4826
(410) 467-6040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913904400
—
MD
Enumeration date
01/23/2008
Last updated
05/22/2008
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