Organization
BALTIMORE COUNTY MARYLAND
Active
Other names
Berkshire Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA ROSS (BILLING MANAGER)
(410) 887-0684
Entity
Organization
Contact information
Practice address
7431 POPLAR AVE, BALTIMORE, MD 21224-3220
(443) 809-7008
Mailing address
6401 YORK RD STE 3, BALTIMORE, MD 21212-2130
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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