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JOHN RICHARD BACON M.D.

Allergy

Towson, Maryland

Provider NPI: 1538162078

Provider Information:
 JOHN RICHARD BACON M.D.


Practice Location:
120 SISTER PIERRE DR STE 201 TOWSON, MD 21204 US
Tel: 410-321-0284  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
MDD0028727

Other Provider Identifiers:

IssuerNumberStateType
26692-1800MD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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