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Individual

MICHAEL NADER MITRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8634 LIBERTY RD, RANDALLSTOWN, MD 21133-4707
(410) 655-2159
(410) 655-5148
Mailing address
6263 PIMLICO RD APT A, BALTIMORE, MD 21209-3332
(410) 868-6708

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19445
MD

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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