NPI

115 East Melrose Avenue Operations Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2016-04-21
Last updated
2017-09-07

Specialties

Licenses

License MD
30044
License MD
30044

Location

Practice location
115 E Melrose Ave
City
Baltimore MD
Postal code
21212-2945
Phone
(410) 435-9073

Organization contact

Name
MICHAEL BERG
Title
Assistant Secretary
Phone
5054684752

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Other NPIs in Baltimore, MD. 45,593 records in the public file.

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