| Wallace Bruce Obenshain Cecilton Family Practice | |
|
251 Bohemia Ave Cecilton MD 21913 | |
| (410) 275-8157 | |
| Not Available |
| Full Name | Wallace Bruce Obenshain Cecilton Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 251 Bohemia Ave, Cecilton, Maryland |
| Authorized Official Name and Position | Lisa Fields (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4103984679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Bruce Obenshain Cecilton Family Practice Po Box 190 Elkton MD 21922-0190 Ph: (410) 398-4679 | Wallace Bruce Obenshain Cecilton Family Practice 251 Bohemia Ave Cecilton MD 21913 Ph: (410) 275-8157 |
| NPI Number | 1134261217 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134261217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0035779 (Maryland) | Primary |
West Cecil Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Levi Coppin St, Cecilton, MD 21913 Phone: 410-378-9696 Fax: 410-378-0787 | |
Paul Katz, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Bohemia Avenue, Cecilton, MD 21913 Phone: 410-398-4679 | |
West Cecil Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 S Bohemia Ave, Cecilton, MD 21913 Phone: 410-378-9696 Fax: 410-378-0787 |