Individual
MUSA MUSA MIVANYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(410) 542-8130
Mailing address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(410) 542-8130
(410) 542-1826
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0097898
MD
Other
Enumeration date
05/29/2020
Last updated
12/18/2023
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