Your Health Network, Inc. - Family Medicine Physician in Baltimore, Maryland | ProviderWire

Legal Business Name

Your Health Network, Inc.

Also Known As

Evergreen Health Care

NPI Number

1366840589

NPI Type

Organization

Enumeration Date

12/22/2014

Specialties

(Taxonomies)

Name

Family Medicine Physician

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

3000 FALLS ROAD

733 W 40TH ST

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21211-2112

21211-2112

Country

US

US

Telephone Number

(443) 963-2818

(443) 451-4993

Authorized Official

Name

Ms. Jessica Kohnen

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(443) 451-4973

Identifiers

Identifier

5354021

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/05/2015

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