ROBERT RUSSELL CONLEY


Address: 55 Wade Ave, Baltimore, MD 21228-4663
Phone: 4104026860

ROBERT RUSSELL CONLEY (NPI# 1962524280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962524280
Entity Type Individual
Full Name ROBERT RUSSELL CONLEY
Credential M.D.
Practice Address 55 Wade Ave
Baltimore
MD 21228-4663
Mailing Address Po Box 21247
Baltimore
MD 21228-0747
Practice Telephone 4104026860
Practice Fax Number 4104026038
Mailing Telephone 4104026860
Mailing Fax Number 4104026038
Enumeration Date 2007-04-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744R1102X Specialist
Specialization: Research Study
D0038009 MD Other Service Providers

Other Providers ROBERT CONLEY

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Office Location

Street Address 55 WADE AVE
City BALTIMORE
State MD
Zip Code 21228-4663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063810018 Whitney Simms Occupational Therapist 55 Wade Ave, Baltimore, MD 21228-4663 2014-12-08
1265644553 William T Carpenter Psychiatry & Neurology 55 Wade Ave, Maryland Psychiatric Research Center, Baltimore, MD 21228-4663 2007-05-07
1730164823 Lydia Mendoza Jumamoy Internal Medicine 55 Wade Ave, Baltimore, MD 21228-4663 2005-12-12
1881685030 David Herman Internal Medicine 55 Wade Ave, Baltimore, MD 21228-4663 2005-11-04

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Taxonomy Information

Taxonomy Code 1744R1102X
Grouping Other Service Providers
Classification Specialist
Specialization Research Study

Taxonomy Definition

Definition to come...

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1477659415 Bethany Whitsell Mundis Specialist 737 W Lombard St, 5th Floor, Baltimore, MD 21201-1009 2006-09-16

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1285113522 Konstantinia Almpani Specialist 30 Covent Drive, Room 203, Bethesda, MD 20814 2018-08-08
1508279373 Sam Ankrah Specialist 12605 Trotwood Ct, Beltsville, MD 20705-1385 2014-06-09
1972935880 Mark Knepper Specialist 4415 Westbrook Ln, Kensington, MD 20895-4136 2013-08-01
1356611933 Louis Howard Miller Specialist 12735 Twinbrook Pkwy, Rockville, MD 20852-1770 2012-01-12
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Competitor

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City BALTIMORE
Zip Code 21228

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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