| BW Primary Care, LLC - Foundry Row | |
|
10084 Reisterstown Rd Ste 200a Owings Mills MD 21117-4096 | |
| (410) 552-5050 | |
| (410) 356-7505 |
| Full Name | BW Primary Care, LLC - Foundry Row |
|---|---|
| Speciality | Family Medicine |
| Location | 10084 Reisterstown Rd Ste 200a, Owings Mills, Maryland |
| Authorized Official Name and Position | Mary Rebecca Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| BW Primary Care, LLC - Foundry Row 10084 Reisterstown Rd Ste 200a Owings Mills MD 21117-4096 Ph: (410) 552-5050 | BW Primary Care, LLC - Foundry Row 10084 Reisterstown Rd Ste 200a Owings Mills MD 21117-4096 Ph: (410) 552-5050 |
| NPI Number | 1366233611 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366233611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
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