Healthcare Provider Details

I. General information

NPI: 1841517224
Provider Name (Legal Business Name): ANTONE WRIGHT RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 GARRISON BLVD SUITE 200
BALTIMORE MD
21215-5695
US

IV. Provider business mailing address

4805 GARRISON BLVD SUITE 200
BALTIMORE MD
21215-5695
US

V. Phone/Fax

Practice location:
  • Phone: 410-493-5811
  • Fax:
Mailing address:
  • Phone: 410-493-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberL100596
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: