| East Coast Gastroenterology Llc | |
|
1450 Mercantile Ln Suite 217 Largo MD 20774-5376 | |
| (301) 583-7770 | |
| (301) 583-9414 |
| Full Name | East Coast Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1450 Mercantile Ln, Largo, Maryland |
| Authorized Official Name and Position | Michael Robert Nichols (CREDENTIALING REPRESENTATIVE) |
| Authorized Official Contact | 4102586333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Gastroenterology Llc Po Box 62249 Baltimore MD 21264-2249 Ph: (301) 583-7770 | East Coast Gastroenterology Llc 1450 Mercantile Ln Suite 217 Largo MD 20774-5376 Ph: (301) 583-7770 |
| NPI Number | 1992998975 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992998975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207ZC0006X | Pathology - Clinical Pathology | (* (Not Available)) | Secondary |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Mercantile Ln Ste 150, Largo, MD 20774 Phone: 301-773-9700 | |
Newman Medical Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9500 Medical Center Dr Ste 105, Largo, MD 20774 Phone: 301-615-4133 Fax: 380-390-5398 | |
Maryland Oncology Hematology, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9333 Healthcare Way, Suite 4100, Largo, MD 20774 Phone: 301-812-3900 Fax: 301-474-0137 | |
Ibe Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Medical Center Dr Ste 105, Largo, MD 20774 Phone: 301-615-4133 Fax: 240-245-2918 | |
John W Bedeau, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9301 Largo Dr W Ste 201, Largo, MD 20774 Phone: 301-350-8722 Fax: 301-350-8822 | |
Lakewood Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln Ste 180, Largo, MD 20774 Phone: 301-925-7002 Fax: 301-925-4463 | |
Community Counseling & Mentoring Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln, Suite 208, Largo, MD 20774 Phone: 301-583-0001 Fax: 301-583-3403 |