Amy E Mutch
Geriatric Medicine
711 Maiden Choice Ln
Catonsville
, Maryland 21228-3632
Amy E Mutch
Geriatric Medicine
711 Maiden Choice Ln
Catonsville
, Maryland 21228-3632
(410) 242-1756
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Amy E Mutch
- 5525 Research Park Dr Fl 4
- Baltimore, MD
- Zip : 21228-4873
- Fax : (410) 242-1756
- Phone : (410) 247-5602
Second Address
- Amy E Mutch
- 711 Maiden Choice Ln
- Catonsville, MD
- Zip : 21228-3632
- Fax : (410) 242-1756
- Phone : (410) 242-5602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | R095947 | MD |
National Provider Identifier
| NPI | 1093907982 |
|---|---|
| Provider Name | Amy E Mutch |
| First Address | Baltimore, MD 21228-4873 |
| Second Address | Catonsville, MD 21228-3632 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2007 |
| Last Update Date | 05/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0024 | BCBS OF DC (01) | |
| 419000900 | (05) | MD |
| 686115-01 | BCBS OF MD (01) | |
| 8300978 | EVERCARE (01) | |
| 960702100 | (05) | MD |
| KG01ER-686115-01 | CAREFIRST BCBS OF MD (01) | |
| S82962 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.