| Medstar Medical Group - Southern Maryland Llc | |
|
22650 Cedar Lane Ct Leonardtown MD 20650-4230 | |
| (301) 475-5021 | |
| (301) 997-0264 |
| Full Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22650 Cedar Lane Ct, Leonardtown, 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 22650 Cedar Lane Ct Leonardtown MD 20650-4230 Ph: (301) 475-5021 |
| NPI Number | 1417754458 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417754458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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