Basic Information
Provider Information
NPI: 1487386645
EntityType: 2
ReplacementNPI:  
OrganizationName: DIMENSIONS HEALTHCARE ASSOCIATES, INC
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Mailing Information
Address1: 900 ELKRIDGE LANDING RD FL 2
Address2:  
City: LINTHICUM
State: MD
PostalCode: 210902924
CountryCode: US
TelephoneNumber: 4434625010
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Practice Location
Address1: 2900 MERCY LN
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City: CHEVERLY
State: MD
PostalCode: 207851157
CountryCode: US
TelephoneNumber: 3016182273
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Other Information
ProviderEnumerationDate: 06/27/2022
LastUpdateDate: 06/27/2022
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AuthorizedOfficialLastName: BROZIC
AuthorizedOfficialFirstName: MICHAEL
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AuthorizedOfficialTitleorPosition: AO
AuthorizedOfficialTelephone: 4109131546
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 06/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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