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1487299020
INTERMED IPA CTO, LLC
BALTIMORE, MD
NPI
1487299020
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Entity Type
Organization
Authorized Contact
VAN LOMIS
Vice President
410-371-4492
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
INTERMED IPA CTO, LLC
9106 PHILADELPHIA RD STE 214
BALTIMORE, MD 21237-4333
Phone number: 410-780-1980
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Mailing Address
INTERMED IPA CTO, LLC
9106 PHILADELPHIA RD STE 214
BALTIMORE, MD 21237-4333
Phone number:
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