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1497989305
CLARK TIMOTHY JOHNSON
BALTIMORE, MD
NPI
1497989305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MD D76370)
Enumeration Date
2009-05-06
Last Update Date
2020-11-19
Business Address
CLARK TIMOTHY JOHNSON
600 N WOLFE STREET PHIPPS 279
BALTIMORE, MD 21287-0001
Phone number: 410-955-6710
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Mailing Address
CLARK TIMOTHY JOHNSON
807 S LUZERNE AVE
BALTIMORE, MD 21224-3734
Phone number: 443-708-8164
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