| Genesis Elder Care Physician Services LLC | |
|
200 Civic Ave Salisbury MD 21804-4599 | |
| (410) 749-1466 | |
| Not Available |
| Full Name | Genesis Elder Care Physician Services LLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 200 Civic Ave, Salisbury, Maryland |
| Authorized Official Name and Position | Eric Shapiro (VP, AREA CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Elder Care Physician Services LLC Po Box 42738 Towson MD 21284-2738 Ph: (410) 494-7607 | Genesis Elder Care Physician Services LLC 200 Civic Ave Salisbury MD 21804-4599 Ph: (410) 749-1466 |
| NPI Number | 1447510714 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447510714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| 314000000X | Skilled Nursing Facility | R188822 (Maryland) | Secondary |
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