Individual
NATALIE SPICYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MHS
Contact information
Practice address
725 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 706-4091
(410) 706-6422
Mailing address
725 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 706-4091
(410) 706-6422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0632
MD
208000000X
Pediatrics Physician
0632
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D79384
MAYLAND LICENSE NUMBER
MD
Enumeration date
04/27/2011
Last updated
09/27/2024
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