| Centennial Medical Group, Pa | |
|
15646 Old Columbia Pike Burtonsville MD 20866-1630 | |
| (410) 730-3399 | |
| (443) 478-4747 |
| Full Name | Centennial Medical Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 15646 Old Columbia Pike, Burtonsville, Maryland |
| Authorized Official Name and Position | Ria Young (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4107303399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Medical Group, Pa 6230 Old Dobbin Ln Columbia MD 21045-5803 Ph: (410) 730-3399 | Centennial Medical Group, Pa 15646 Old Columbia Pike Burtonsville MD 20866-1630 Ph: (410) 730-3399 |
| NPI Number | 1093584930 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093584930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Viraj V Tirmal Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3905 National Dr Ste 220, Burtonsville, MD 20866 Phone: 240-389-1986 Fax: 240-389-1186 | |
Comprehensive Medical Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4006 Wood Swallow Ct, Burtonsville, MD 20866 Phone: 732-421-6738 | |
Boni Medical & Psychiatric Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4030 Blackburn Ln, Burtonsville, MD 20866 Phone: 240-722-6733 | |
Boni Medical & Psychiatric Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4030 Blackburn Ln, Burtonsville, MD 20866 Phone: 240-722-6733 |