| South River Family Medicine | |
|
3169 Braverton St Suite 201 Edgewater MD 21037-2679 | |
| (410) 956-4911 | |
| (410) 956-4935 |
| Full Name | South River Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3169 Braverton St, Edgewater, Maryland |
| Authorized Official Name and Position | Peter Odenwald (VICE PRESIDENT) |
| Authorized Official Contact | 4434816415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Family Medicine Po Box 64095 Baltimore MD 21264-4095 Ph: (443) 481-6560 | South River Family Medicine 3169 Braverton St Suite 201 Edgewater MD 21037-2679 Ph: (410) 956-4911 |
| NPI Number | 1699742874 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699742874 | NPI | - | NPPES |
| 407175107 | Medicaid | MD | |
| 955BSO | Other | BCBS | |
| K643 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
South River Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Mayo Rd, Edgewater, MD 21037 Phone: 410-956-6303 Fax: 410-956-6637 | |
South River Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3168 Braverton St, Suite 330, Edgewater, MD 21037 Phone: 410-956-7830 Fax: 410-956-7832 | |
Nadia Akhmed Md Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St, 330, Edgewater, MD 21037 Phone: 410-956-3090 Fax: 410-956-3063 | |
South River Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St Ste 302, Edgewater, MD 21037 Phone: 410-353-1616 | |
South River Internal Medicine, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St Ste 250, Edgewater, MD 21037 Phone: 410-956-1600 Fax: 410-956-7900 | |
Riva Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3169 Braverton St, Suite 102, Edgewater, MD 21037 Phone: 410-956-9566 Fax: 443-716-2595 |