| Heartfelt Medical Group L L C | |
|
301 St Paul Pl Suite 509 Baltimore MD 21202 | |
| (410) 837-2006 | |
| (410) 244-8510 |
| Full Name | Heartfelt Medical Group L L C |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 St Paul Pl, Baltimore, Maryland |
| Authorized Official Name and Position | Marsha Jeanette Brown (OWNER) |
| Authorized Official Contact | 4108372006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartfelt Medical Group L L C 301 Saint Paul Pl Suite 509 Baltimore MD 21202-2102 Ph: (410) 837-2006 | Heartfelt Medical Group L L C 301 St Paul Pl Suite 509 Baltimore MD 21202 Ph: (410) 837-2006 |
| NPI Number | 1356400204 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 05/04/2012 |
| Medicare PECOS PAC ID | 1355593427 |
|---|---|
| Medicare Enrollment ID | O20121219000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356400204 | NPI | - | NPPES |
| 187761500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D18847 (Maryland) | Primary |
| Provider Name | Marsha J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467423988 PECOS PAC ID: 5991957060 Enrollment ID: I20121219000040 |
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