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NPI Code Detail

MEDICARE: CLINICAL ASSOCIATES P A

MEDICARE: CLINICAL ASSOCIATES P A
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1942134499
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICAL ASSOCIATES P A
Provider Business Mailing Address
First Line : 515 FAIRMOUNT AVE STE 400
Second Line :
City : BALTIMORE
State : MD
Zip : 21286-8518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 SOUTHERLY RD STE 100G
Second Line :
City : TOWSON
State : MD
Zip : 21286-8403
Country : US
Telephone Number : 410-339-6174
Fax Number :
Authorized Official
Title or Position : CRED COORD
Name : JEWEL WATSON
Credential :
Telephone Number : 410-494-1237
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “CLINICAL ASSOCIATES P A ” Practice Location

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