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MARYLAND TREATMENT CENTERS INC. NPI 1497921373


NPI Information

NPI: 1497921373
Provider Name: MARYLAND TREATMENT CENTERS, INC.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
3800 FREDERICK AVE
BALTIMORE, MD
ZIP 21229
Phone: (410) 233-1400
Get Directions

MARYLAND TREATMENT CENTERS, INC. is an addiction medicine psychiatry neurology in Baltimore, MD. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine MARYLAND TREATMENT CENTERS, INC. NPI is 1497921373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3800 FREDERICK AVE
BALTIMORE, MD
ZIP 21229-618
Phone: (410) 233-1400
Fax: (410) 233-1666

The provider's authorized official is Marc J. Fishman .
The authorized official title is Psychiatrist and has the following contact phone number (410) 233-1400.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 5/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryMARYLANDNo
22084P0802XPsychiatry & NeurologyAddiction PsychiatryD0038913MARYLANDNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMARYLANDNo
42084A0401XPsychiatry & NeurologyAddiction MedicineMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203102700MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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