Organization
G. ROBERT MEDALIE, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
G ROBERT MEDALIE M.D. (PRESIDENT)
(410) 321-9701
Entity
Organization
Contact information
Practice address
6535 N CHARLES ST, SUITE 325, BALTIMORE, MD 21204-5826
(410) 321-9701
(410) 321-0845
Mailing address
6535 N CHARLES ST, SUITE 325, BALTIMORE, MD 21204-5826
(410) 321-9701
(410) 321-0845
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5485
MEDICARE RAILROAD
MD
Enumeration date
08/10/2006
Last updated
07/08/2010
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