Organization
U M FDSP ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE B MARKWITZ (DIR. OF MEDICAL CREDENTIALING & QA)
(410) 706-5806
Entity
Organization
Contact information
Practice address
650 W BALTIMORE STREET, FACULTY PRACTICE CLINIC 1ST FLOOR, BALTIMORE, MD 21201-1510
(410) 706-7961
(410) 706-3028
Mailing address
650 W BALTIMORE ST STE 5201, BALTIMORE, MD 21201-1510
(410) 706-5806
(410) 706-3028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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