| Cal Arundel Family Medicine, Llc | |
|
32 Cox Rd Huntingtown MD 20639-9278 | |
| (410) 414-9879 | |
| (410) 535-7684 |
| Full Name | Cal Arundel Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 32 Cox Rd, Huntingtown, Maryland |
| Authorized Official Name and Position | Stanley John Wisniewski (OWNER) |
| Authorized Official Contact | 4104149879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cal Arundel Family Medicine, Llc 32 Cox Rd Huntingtown MD 20639-9278 Ph: (410) 414-9879 | Cal Arundel Family Medicine, Llc 32 Cox Rd Huntingtown MD 20639-9278 Ph: (410) 414-9879 |
| NPI Number | 1578891214 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578891214 | NPI | - | NPPES |
| 1205845799 | Other | MD | INDIVIDUAL NPI |
| 407730000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 207Q00000X (Maryland) | Primary |
Capital Diabetes & Endocrine Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3995 Old Town Rd Ste 202, Huntingtown, MD 20639 Phone: 301-899-7713 |