Individual
DR. BERYL ACHIENG OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 N CHARLES ST STE 203, TOWSON, MD 21204-5805
(443) 849-3760
(443) 849-8138
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D98374
MD
208M00000X
Hospitalist Physician
D98374
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768952700
—
MD
Enumeration date
09/02/2020
Last updated
08/21/2024
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