| Medstar Medical Group, Llc | |
|
1406 Crain Highway Suite 106 Glen Burnie MD 21061-4058 | |
| (410) 768-6440 | |
| Not Available |
| Full Name | Medstar Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1406 Crain Highway, Glen Burnie, Maryland |
| Authorized Official Name and Position | Edward Miller (VICE PRESIDENT) |
| Authorized Official Contact | 4437258719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Medical Group, Llc 8094 Sandpiper Cir Suite O Baltimore MD 21236-4907 Ph: (410) 933-3017 | Medstar Medical Group, Llc 1406 Crain Highway Suite 106 Glen Burnie MD 21061-4058 Ph: (410) 768-6440 |
| NPI Number | 1346514817 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346514817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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