Provider Information for 1164808218
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MEGHANN MULHERIN
Sex: Female
NPI: 1164808218
Last Updated: 2020-07-31
Certification Date: 2020-07-31
Certification Date: 2020-07-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164808218 | ||||||||
| Enumeration Date | 2015-07-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1111 N CHARLES ST BALTIMORE, MD 21201-5505 United States Phone: 410-837-2050 | Fax:866-629-0091 | ||||||||
| Primary Practice Address | 200 HOSPITAL DR STE 300 GLEN BURNIE, MD 21061-5884 United States Phone: 410-837-2050 | Fax:866-629-0091 | ||||||||
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