| Bw Primary Care, Llc | |
|
6190 Georgetown Blvd Suite 104 Eldersburg MD 21784-6460 | |
| (410) 552-5050 | |
| (410) 552-0200 |
| Full Name | Bw Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6190 Georgetown Blvd, Eldersburg, Maryland |
| Authorized Official Name and Position | Mary R Wright-sisk (DIRECTOR) |
| Authorized Official Contact | 4434229941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bw Primary Care, Llc 6190 Georgetown Blvd Suite 104 Eldersburg MD 21784-6460 Ph: (410) 552-5050 | Bw Primary Care, Llc 6190 Georgetown Blvd Suite 104 Eldersburg MD 21784-6460 Ph: (410) 552-5050 |
| NPI Number | 1891247003 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891247003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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