Organization
ARAMARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA GORE MS, RD, LDN (PEDIATRIC DIETITIAN)
(410) 601-5728
Entity
Organization
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5728
Mailing address
103 E RANDALL ST, BALTIMORE, MD 21230-4609
(410) 371-0887
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
DX2468
MD
Other
Enumeration date
05/17/2007
Last updated
07/29/2008
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