Healthcare Provider Details

I. General information

NPI: 1407605389
Provider Name (Legal Business Name): MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6934 AVIATION BLVD STE F
GLEN BURNIE MD
21061-2593
US

IV. Provider business mailing address

1589 SULPHUR SPRING RD STE 109
BALTIMORE MD
21227-2542
US

V. Phone/Fax

Practice location:
  • Phone: 410-760-3588
  • Fax: 410-760-3604
Mailing address:
  • Phone: 410-536-5400
  • Fax: 410-737-2168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL E TURER
Title or Position: PRESIDENT
Credential: MD
Phone: 410-536-5400