Organization
MARYLAND MEDICAL REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORISCINE LENAY COLLEY M.D. (PRESIDENT/MEDICAL DIRECTOR)
(410) 685-1188
Entity
Organization
Contact information
Practice address
2530 N CHARLES ST, SUITE 102, BALTIMORE, MD 21218-4640
(410) 685-1188
(410) 685-1889
Mailing address
PO BOX 6553, COLUMBIA, MD 21045-6553
(410) 685-1188
(410) 685-1889
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0046464
MD
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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