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General NPI Number Information
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NPI Number | 1659263457
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Entity Type | Organization
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Legal Business Name | MD MEMORY AND BEHAVIORAL CARE INC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 822 GUILFORD AVE # 1526
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City | BALTIMORE
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State | MD
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Zip | 21202-3707
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Country | US
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Telephone | 973-295-6335
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Fax |
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Provider Business Mailing Address
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Address Line | 575 ROUTE 28 STE 2108
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City | RARITAN
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State | NJ
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Zip | 08869-1354
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MATTHEW BARNAS
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Credential | MD
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Telephone | 201-519-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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