Individual
KAREN L WILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0055242
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262601200
—
MD
01
—
611760-01
BC/BS OF MARYLAND
MD
01
—
S188 / 0056
BLUE CHOICE
MD
Enumeration date
02/20/2007
Last updated
08/15/2022
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