| Crofton Medical Group, Llc | |
|
1667 Crofton Ctr Suite 5 Crofton MD 21114-1303 | |
| (410) 721-2700 | |
| (410) 721-8874 |
| Full Name | Crofton Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1667 Crofton Ctr, Crofton, Maryland |
| Authorized Official Name and Position | Mirza M Nusairee (PRESIDENT) |
| Authorized Official Contact | 4107212700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crofton Medical Group, Llc 1667 Crofton Ctr Suite 5 Crofton MD 21114-1303 Ph: (410) 721-2700 | Crofton Medical Group, Llc 1667 Crofton Ctr Suite 5 Crofton MD 21114-1303 Ph: (410) 721-2700 |
| NPI Number | 1457308090 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 8921065541 |
|---|---|
| Medicare Enrollment ID | O20041215000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457308090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mirza M Nusairee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043257256 PECOS PAC ID: 4688562143 Enrollment ID: I20040306000130 |
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