| University Of Maryland St. Joseph Medical Group, Llc | |
|
120 Westminster Pike Reisterstown MD 21136 | |
| (410) 427-5430 | |
| Not Available |
| Full Name | University Of Maryland St. Joseph Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 120 Westminster Pike, Reisterstown, Maryland |
| Authorized Official Name and Position | Thomas Smyth (PRESIDENT AND CEO) |
| Authorized Official Contact | 4103281376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland St. Joseph Medical Group, Llc Po Box 417651 Boston MA 02241-7651 Ph: (410) 337-1104 | University Of Maryland St. Joseph Medical Group, Llc 120 Westminster Pike Reisterstown MD 21136 Ph: (410) 427-5430 |
| NPI Number | 1134957855 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134957855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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