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1326004268
KIRK MAURICE CHAN-TACK
BALTIMORE, MD
NPI
1326004268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D0063692)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
Dr. KIRK MAURICE CHAN-TACK M.D.
725 W LOMBARD ST
BALTIMORE, MD 21201-1009
Phone number: 410-706-5537
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Mailing Address
Dr. KIRK MAURICE CHAN-TACK M.D.
8504 MAYAONE ST
LAUREL, MD 20724-2914
Phone number:
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