Organization
RITA MATHUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETA N ESAU (OFFICE MANAGER)
(410) 780-1980
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD, STE 200, BALTIMORE, MD 21237-4329
(410) 780-1980
(410) 780-1984
Mailing address
PO BOX 1094, BEL AIR, MD 21014-7094
(410) 780-1980
(410) 780-1984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0057021
MD
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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