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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