Organization
MACIEJ CHODYNICKI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACIEJ CHODYNICKI M.D. (OWNER)
(443) 762-1683
Entity
Organization
Contact information
Practice address
1122 KENILWORTH DR STE 403, TOWSON, MD 21204-2147
(443) 762-1683
Mailing address
1122 KENILWORTH DR STE 403, TOWSON, MD 21204-2147
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
D0063080
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408237100
—
MD
Enumeration date
12/13/2011
Last updated
12/13/2011
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