Organization
FRIZZERA BERLIN & COLLERIUS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA COLLERIUS MD (PHYSICIAN OWNER)
(410) 828-8077
Entity
Organization
Contact information
Practice address
7401 OSLER DRIVE, SUITE 205, TOWSON, MD 21204-7622
(410) 828-8077
(410) 828-8078
Mailing address
7401 OSLER DRIVE, SUITE 205, TOWSON, MD 21204-7622
(410) 828-8077
(410) 828-8078
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0054728
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479801500
—
MD
Enumeration date
10/31/2007
Last updated
07/29/2010
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