Individual
SANJIVANI AVINASH KOLGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8105 RITCHIE HWY, PASADENA, MD 21122-3905
(443) 573-0564
(443) 573-0565
Mailing address
PO BOX 759047, BALTIMORE, MD 21275-9047
(804) 868-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0073860
MD
Other
Enumeration date
06/24/2009
Last updated
12/07/2016
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