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Organization

PARK MEDICAL ASSOCIATES PAR LLC

Active
Parent organization
PARK MEDICAL ASSOCIATES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARK MEDICAL ASSOCIATES LLC
Authorized official
MARY NEWMAN (PRESIDENT)
(410) 583-7120
Entity
Organization

Contact information

Practice address
10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515
(410) 583-7101
Mailing address
10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
04/26/2010
Last updated
06/16/2010
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