| The Physicians Group Chartered | |
|
601 Post Office Rd Suite 1-a Waldorf MD 20602-1912 | |
| (301) 638-0186 | |
| (301) 843-6857 |
| Full Name | The Physicians Group Chartered |
|---|---|
| Speciality | General Practice |
| Location | 601 Post Office Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Michael Anthony Pimentel (TREASURER) |
| Authorized Official Contact | 3016380186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Physicians Group Chartered 601 Post Office Rd Suite 1-a Waldorf MD 20602-1912 Ph: (301) 638-0186 | The Physicians Group Chartered 601 Post Office Rd Suite 1-a Waldorf MD 20602-1912 Ph: (301) 638-0186 |
| NPI Number | 1881780211 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 03/22/2011 |
| Medicare PECOS PAC ID | 8820261886 |
|---|---|
| Medicare Enrollment ID | O20111108000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881780211 | NPI | - | NPPES |
| 203631200 | Medicaid | MD |
| Provider Name | Benjamin R Pimentel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043325392 PECOS PAC ID: 1658544655 Enrollment ID: I20130304000369 |
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