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1770190647
MEDICAL MARYLAND STAR CHOICE LLC
COLUMBIA, MD
NPI
1770190647
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Entity Type
Organization
Authorized Contact
KINAN KNAISH
CEO
410-383-2250
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2020-09-25
Last Update Date
2023-02-08
Business Address
MEDICAL MARYLAND STAR CHOICE LLC
5999 HARPERS FARM RD STE W230
COLUMBIA, MD 21044-3025
Phone number: 410-383-2250
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Mailing Address
MEDICAL MARYLAND STAR CHOICE LLC
5999 HARPERS FARM RD STE W230
COLUMBIA, MD 21044-3025
Phone number: 410-383-2250
Copy
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