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Individual

KRISTIINA S.L.R. ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-7802
Mailing address
PO BOX 64313, BALTIMORE, MD 21264-4313
(410) 550-0335

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D54975
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407702400
MD
Enumeration date
04/24/2006
Last updated
09/12/2016
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