Individual
CAROLYN BARNES BREAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-2882
(410) 328-2977
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-7835
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C0007210
MD
363A00000X
Physician Assistant
Primary
C0007210
MD
Other
Enumeration date
07/09/2019
Last updated
07/01/2025
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