| Drs. Dimarzio,gordon,jackson,kinzer,miller&verkouw, Pa | |
|
2003 Medical Pkwy Suite 100 Annapolis MD 21401-7992 | |
| (410) 573-1110 | |
| (410) 266-0714 |
| Full Name | Drs. Dimarzio,gordon,jackson,kinzer,miller&verkouw, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 Medical Pkwy, Annapolis, Maryland |
| Authorized Official Name and Position | Debbie A Inzer (BILLING MANAGER) |
| Authorized Official Contact | 4105731110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Dimarzio,gordon,jackson,kinzer,miller&verkouw, Pa 2003 Medical Pkwy Suite 100 Annapolis MD 21401-7992 Ph: (410) 573-1110 | Drs. Dimarzio,gordon,jackson,kinzer,miller&verkouw, Pa 2003 Medical Pkwy Suite 100 Annapolis MD 21401-7992 Ph: (410) 573-1110 |
| NPI Number | 1962620062 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 05/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962620062 | NPI | - | NPPES |
| SRRGA | Other | MD | RAIL ROAD MEDICARE |
| 4421835 | Other | MD | AETNA |
| S103 | Other | MD | BCBS DC |
| 652102900 | Medicaid | MD | |
| KS82GR | Other | MD | BCBS OF MD |
| KS82GR | Other | MD | BCBS POS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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