Organization
HUMANIM INPATIENT AND OUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BRITTON (DIR OF BILLING)
(410) 381-7171
Entity
Organization
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 381-7171
(410) 381-5137
Mailing address
6355 WOODSIDE CT, COLUMBIA, MD 21046-1071
(410) 381-7171
(410) 381-5137
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZWJHU
CAREFIRST
MD
Enumeration date
07/13/2006
Last updated
07/24/2008
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