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NPI Code Detail

MEDICARE: DIMENSIONS HEALTHCARE ASSOCIATES INC

MEDICARE: DIMENSIONS HEALTHCARE ASSOCIATES INC
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
1207RC0000XCardiovascular Disease Physician
2207RG0100XGastroenterology Physician
3207RR0500XRheumatology Physician
4103T00000XPsychologist
5207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1609621713
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIMENSIONS HEALTHCARE ASSOCIATES INC
Provider Business Mailing Address
First Line : 900 ELKRIDGE LANDING RD FL 2
Second Line :
City : LINTHICUM
State : MD
Zip : 21090-2924
Country : US
Telephone Number : 443-462-5010
Fax Number :
Provider Business Practice Location Address
First Line : 4000 GARDEN CITY DRIVE
Second Line : SUITE 810
City : HYATTSVILLE
State : MD
Zip : 20785-2419
Country : US
Telephone Number : 240-677-3100
Fax Number :
Authorized Official
Title or Position : CFO
Name : MICHAEL BROZIC
Credential :
Telephone Number : 410-913-1546
Provider Enumeration Date : 04/22/2024
Last Update Date : 04/22/2024

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