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Individual

KADAMBAVANAM DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12224 TULLAMORE RD, LUTHERVILLE, MD 21093-7816
(410) 683-0031
Mailing address
133 OTHORIDGE RD, LUTHERVILLE, MD 21093-5419
(410) 683-0031

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10640
MD

Other

Enumeration date
02/24/2012
Last updated
02/24/2012
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