Organization
MDICS AT BON SECOURS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG STEWART MITCHELL MD (MEDICAL DIRECTOR)
(443) 949-0814
Entity
Organization
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
(410) 362-3010
Mailing address
6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
MD
Other
Enumeration date
06/15/2011
Last updated
10/16/2012
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