| Crossroads Medical Group, P.a. | |
|
2700 Quarry Lake Drive Suite 350 Balitmore MD 21209-0000 | |
| (410) 998-9955 | |
| (410) 998-9961 |
| Full Name | Crossroads Medical Group, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2700 Quarry Lake Drive, Balitmore, Maryland |
| Authorized Official Name and Position | Samuel I Benesh (PRESIDENT) |
| Authorized Official Contact | 4109989955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Medical Group, P.a. 2700 Quarry Lake Drive Suite 350 Baltimore MD 21209-0000 Ph: (410) 998-9955 | Crossroads Medical Group, P.a. 2700 Quarry Lake Drive Suite 350 Balitmore MD 21209-0000 Ph: (410) 998-9955 |
| NPI Number | 1720041890 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720041890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maryland) | Primary |