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NPI Code Detail

MEDICARE: MIPNS ASSOCIATES LLC

MEDICARE: MIPNS ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician

General Provider Information

NPI Number : 1184306920
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIPNS ASSOCIATES LLC
Provider Business Mailing Address
First Line : 1447 YORK RD STE 406
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-6057
Country : US
Telephone Number : 410-343-3001
Fax Number : 410-823-0015
Provider Business Practice Location Address
First Line : 1447 YORK RD STE 406
Second Line :
City : LUTHERVILLE
State : MD
Zip : 21093-6057
Country : US
Telephone Number : 410-343-3001
Fax Number : 410-823-0015
Authorized Official
Title or Position : ADMIN ASST
Name : TRACY MCCARTIN
Credential :
Telephone Number : 410-343-3001
Provider Enumeration Date : 08/02/2023
Last Update Date : 09/25/2023

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Directions to “MIPNS ASSOCIATES LLC ” Practice Location

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