Organization
ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
Active
Organization
ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA ETHEL RACHUBA (MEDICAL STAFF SERVICES DIRECTOR)
(410) 402-2258
Entity
Organization
Contact information
Practice address
711 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-3632
(410) 247-5602
(410) 242-1756
Mailing address
PO BOX 783712, PHILADELPHIA, PA 19178-3712
(800) 360-3851
(410) 402-2265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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