Individual
JOHN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WORCESTER CO. HEALTH DEPT. - BERLIN HEALTH CENTER, 9730 HEALTHWAY DRIVE, BERLIN, MD 21811
(410) 629-0164
(410) 629-0185
Mailing address
8929 EXECUTIVE CLUB DR, DELMAR, MD 21875-2367
(410) 845-6726
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
03/31/2009
Last updated
03/31/2009
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