| Medstar Medical Group - Southern Maryland Llc | |
|
2200 Defense Hwy Ste 103 Crofton MD 21114-2458 | |
| (410) 721-5280 | |
| (410) 721-2243 |
| Full Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2200 Defense Hwy Ste 103, Crofton, Maryland |
| Authorized Official Name and Position | Alan Adair Buster (C.O.O.) |
| Authorized Official Contact | 3013737905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Medical Group - Southern Maryland Llc Po Box 640 Hollywood MD 20636-0640 Ph: (301) 373-7900 | Medstar Medical Group - Southern Maryland Llc 2200 Defense Hwy Ste 103 Crofton MD 21114-2458 Ph: (410) 721-5280 |
| NPI Number | 1730986761 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730986761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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