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Organization

DUNKIRK SPECIALIST CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRIE BALLENGER (ADMINISTRATOR)
(301) 423-4551
Entity
Organization

Contact information

Practice address
2972 PENWICK LN, DUNKIRK, MD 20754-9403
(301) 423-4551
Mailing address
4333 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-1848
(301) 423-4551

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207QA0401X
Addiction Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
Primary
MD
2084N0400X
Neurology Physician
208VP0000X
Pain Medicine Physician

Other

Enumeration date
07/30/2014
Last updated
07/30/2014
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