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Individual

AMANDA NOELLE CORWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4958
Mailing address
22 S GREENE ST # N5W70, BALTIMORE, MD 21201-1544
(410) 328-5213
(410) 328-0646

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D98039
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2020
Last updated
09/20/2023
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