Individual
DMITRIY MAKAREVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP, AGACNP-BC
Contact information
Practice address
2401 W BELVEDERE AVE, SINAI HOSPITAL, ICU, BALTIMORE, MD 21215-5216
(410) 601-5449
Mailing address
2401 W BELVEDERE AVE, SINAI HOSPITAL, ICU, BALTIMORE, MD 21215-5216
(410) 601-5449
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R153038
MD
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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