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Organization

OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA

Active
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Organization

OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA

Active
Other names
Academic Dept
Organization subpart
No

Provider details

NPI number
Authorized official
RICK EUGENE BRINEGAR (DIRECTOR PRFOESSIONAL FEES)
(410) 328-0353
Entity
Organization

Contact information

Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1751
(410) 320-6640
(410) 328-3379
Mailing address
110 SOUTH PACA ST, SUITE 6N300, BALTIMORE, MD 21201-1751
(410) 328-0253
(410) 328-3379

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
723
MD
291U00000X
Clinical Medical Laboratory
Primary
AFP 723
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AFP 723
LAB NUMBER
MD
Enumeration date
10/26/2006
Last updated
08/04/2008
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