Organization
CALVERT NEPHROLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MARIE LINCOLN CPC (OFFICE MANAGER/BILLING ADMIN.)
(410) 261-8531
Entity
Organization
Contact information
Practice address
3333 N CALVERT ST, STE. 585, BALTIMORE, MD 21218-2867
(410) 261-8532
(410) 261-8055
Mailing address
3333 N CALVERT ST, STE. 585, BALTIMORE, MD 21218-2867
(410) 261-8532
(410) 261-8055
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0063540
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019875700
—
MD
Enumeration date
03/28/2011
Last updated
04/18/2011
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