Individual
DR. JOHN CALVIN PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, JHOC 5, BALTIMORE, MD 21287-0006
(410) 955-8174
(410) 955-0672
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227
(410) 955-6626
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D73432
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056130400
—
MD
Enumeration date
06/20/2008
Last updated
04/15/2013
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