Organization
MARYLAND EAR NOSE AND THROAT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE M MARTYN (PRACTICE ADMINISRTATOR)
(847) 888-9000
Entity
Organization
Contact information
Practice address
3333 N CALVERT ST, BALTIMORE, MD 21218-2867
(443) 552-2653
Mailing address
3333 N CALVERT ST STE 360, BALTIMORE, MD 21218-2867
(443) 552-2653
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
01388
MD
Other
Enumeration date
07/19/2016
Last updated
07/15/2024
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