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Contact Information

WYE OAK CLINIC, INC.
1937 LANSDOWNE RD
HALETHORPE, MD21227
 Phone: 410-536-0555
 Fax: 410-536-0231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Marriage & Family Therapist

106H00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WYE OAK CLINIC, INC.

NPI # 1174913677
LBN Legal business name WYE OAK CLINIC, INC.
Authorized official DAVID CLINE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2015
Last updated 02/04/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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