Organization
RANDALLSTOWN PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DAVEY (MANAGING MEMBER)
(410) 521-4211
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD, SUITE 204, RANDALLSTOWN, MD 21133-5100
(410) 521-4211
Mailing address
5400 OLD COURT RD, SUITE 204, RANDALLSTOWN, MD 21133-5100
(410) 521-4211
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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