Individual
DR. MARA Y DINITS-PENSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5196
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5196
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D58875
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679521959
—
DE
05
—
407737700
—
MD
01
—
617979-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/05/2006
Last updated
08/20/2008
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