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NPI 1346736626 · Addiction Psychiatry Physician · Cumberland, MD
Provider details
- NPI number
- 1346736626
- Entity type
- Organization
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mary Jo Cannon, Medical Director
- License
- D28907 (MD)
Mailing address
1138 Potomac Ave
Hagerstown, MD 21742-3440
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2019-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.