Organization
METRO RENAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENA MARIE KELLER (OFFICE MANAGER)
(410) 439-1332
Entity
Organization
Contact information
Practice address
821 N EUTAW ST STE 407, BALTIMORE, MD 21201-6304
(410) 439-1332
(410) 439-1335
Mailing address
821 N EUTAW ST, SUITE 401, BALTIMORE, MD 21201-6304
(410) 439-1332
(410) 439-1335
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808001100
—
MD
Enumeration date
01/05/2007
Last updated
10/27/2022
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