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NPI Code Detail

MEDICARE: DULANEY EYE INSTITUTE, LLC

MEDICARE: DULANEY EYE INSTITUTE, LLC
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
1261QA1903XAmbulatory Surgical Clinic/CenterA1161MD

General Provider Information

NPI Number : 1376546721
Entity Type Code : Organization
Provider Name (Legal Business Name) : DULANEY EYE INSTITUTE, LLC
Provider Business Mailing Address
First Line : 901 DULANEY VALLEY RD
Second Line : STE 220
City : TOWSON
State : MD
Zip : 21204-0621
Country : US
Telephone Number : 410-583-1000
Fax Number : 410-583-4718
Provider Business Practice Location Address
First Line : 901 DULANEY VALLEY RD
Second Line : STE 220
City : TOWSON
State : MD
Zip : 21204-0621
Country : US
Telephone Number : 410-583-1000
Fax Number : 410-583-4718
Authorized Official
Title or Position : SECRETARY
Name : GEORGE L NEAL
Credential :
Telephone Number : 469-214-0144
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/05/2020

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Directions to “DULANEY EYE INSTITUTE, LLC ” Practice Location

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