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Individual

DR. REBECCA L MANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5501 HOPKINS BAYVIEW CIR, ROOM 1B.5, BALTIMORE, MD 21224-6821
(410) 550-8089
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 550-2069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0064017
MD
207RR0500X
Rheumatology Physician
Primary
D64017
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046495300
MD
Enumeration date
04/12/2007
Last updated
02/12/2013
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