Healthcare Provider Details

I. General information

NPI: 1477508802
Provider Name (Legal Business Name): RACHEL F. PLOTNICK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 08/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N. CHARLES STREET SUITE 306
BALTIMORE MD
21204
US

IV. Provider business mailing address

6565 N. CHARLES STREET SUITE 306
BALTIMORE MD
21204
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2781
  • Fax: 443-849-8083
Mailing address:
  • Phone: 443-849-2781
  • Fax: 443-849-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0064048
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: