| Promed Preferred Dc Professional Corporation | |
|
1519 York Rd Timonium MD 21093-5611 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Dc Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1519 York Rd, Timonium, Maryland |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Dc Professional Corporation 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 Ph: () - | Promed Preferred Dc Professional Corporation 1519 York Rd Timonium MD 21093-5611 Ph: (615) 499-3165 |
| NPI Number | 1912707720 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7315465432 |
|---|---|
| Medicare Enrollment ID | O20250513001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912707720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Graciela Rodriguez Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285913772 PECOS PAC ID: 7911169784 Enrollment ID: I20120425000029 |
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