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1457528358
AVA PORT
BALTIMORE, MD
NPI
1457528358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MD D74506)
Enumeration Date
2008-05-11
Last Update Date
2017-01-05
Business Address
-- AVA PORT M.D.
827 LINDEN AVE FLOOR 2, SOUTH
BALTIMORE, MD 21201-4606
Phone number: 443-682-6800
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Mailing Address
-- AVA PORT M.D.
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-8040
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