Organization
MIB PARTNERSHIP LLP
Active
Other names
Medical Imaging of Baltimore
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LISSE (AGENT)
(301) 650-9000
Entity
Organization
Contact information
Practice address
6715 N CHARLES ST, BALTIMORE, MD 21204-6822
(410) 296-5610
(410) 296-2982
Mailing address
PO BOX 630277, BALTIMORE, MD 21263-0277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M270
MD
Other
Enumeration date
05/20/2006
Last updated
06/25/2008
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