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Individual

DR. JEAN MIDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
11441 HIGH HAY DR, COLUMBIA, MD 21044-1027

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0026720
MD

Other

Enumeration date
02/17/2006
Last updated
07/08/2007
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