Anne Arundel Primary Care Llc | |
2401 Brandermill Blvd Suite 330 Gambrills MD 21054-1690 | |
(410) 451-9888 | |
(410) 451-9876 |
Full Name | Anne Arundel Primary Care Llc |
---|---|
Speciality | Internal Medicine |
Location | 2401 Brandermill Blvd, Gambrills, Maryland |
Authorized Official Name and Position | Chimene L. Liburd (MANAGING PARTNER) |
Authorized Official Contact | 4104519888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anne Arundel Primary Care Llc Po Box 3489 Crofton MD 21114-0489 Ph: () - | Anne Arundel Primary Care Llc 2401 Brandermill Blvd Suite 330 Gambrills MD 21054-1690 Ph: (410) 451-9888 |
NPI Number | 1114959855 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 11/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114959855 | NPI | - | NPPES |
23PWAN | Other | MD | CAREFIRST |
DF7391 | Other | GA | RAILROAD MEDICARE |
6019 | Other | DC | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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