Organization
SHOCK TRAUMA ASSOCIATES, P.A.
Active
Other names
Shock Trauma Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY COLLIC (DIRECTOR OF PROFESSIONAL FEES)
(667) 214-1334
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4214
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/05/2006
Last updated
01/06/2026
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