Organization Name: | HEALTH ALLIANCE ASSOCIATES INC |
NPI Number: | 1437549466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRITTANI D BRUNN (PRESIDENT/OWNER) |
Mailing Address: | 1017 E Baltimore St Baltimore |
State: | MD US |
Postal Code: | 212024705 |
Phone Number: | 4106757500 |
Fax Number: | 4432300059 |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |