Individual
MANJU PALANISWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CATON AVE, MAILBOX 081, BALTIMORE, MD 21229-5201
(443) 703-3200
(443) 703-3201
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D79476
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2012
Last updated
10/29/2015
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