Organization
MOUNT CLARE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PODIN (PRESIDENT)
(410) 244-1717
Entity
Organization
Contact information
Practice address
1261 W PRATT ST, BALTIMORE, MD 21223-2666
(410) 244-1717
(410) 244-1666
Mailing address
1261 W PRATT ST, BALTIMORE, MD 21223-2666
(410) 244-1717
(410) 244-1666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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