Clance, Mary R

Clance, Mary R is an individual health care provider with primary practice located at 2001 Medical Pkwy Acute Care Pavilion, Annapolis MD 21401-3280. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Clance, Mary R can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Acute Care Pavilion Annapolis MD 21401-3280
Phone: (443) 481-1000
Fax: (443) 481-6515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D38328 Maryland
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X D38328 Maryland

Profile Details

NPI number 1447238282
LBN Legal business name Clance, Mary R
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Oct 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447238282 NPPES
Other 6263782 AETNA HMO
Other S3990059 AETNA HMO
Other 53072411 AETNA HMO
MEDICAID 142441600 AETNA HMO
Other 5926262 AETNA HMO

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