Individual
DR. DONALD F SLACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 NORTH CHARLES ST., PPE STE 441, TOWSON, MD 21204
(443) 849-3901
(443) 849-3902
Mailing address
6565 NORTH CHARLES ST, PPE STE 411, TOWSON, MD 21204
(443) 849-3901
(443) 849-3902
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0080447
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0080447
MD
Other
Enumeration date
06/10/2010
Last updated
06/20/2018
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