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12221 Tullamore Rd # 3 Lutherville Timonium MD 21093-7816 | |
(410) 494-1884 | |
(410) 308-7841 |
Full Name | |
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Speciality | Internal Medicine |
Location | 12221 Tullamore Rd # 3, Lutherville Timonium, Maryland |
Authorized Official Name and Position | Brian Cawley (VICE PRESIDENT) |
Authorized Official Contact | 4105217572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12221 Tullamore Rd # 3 Lutherville Timonium MD 21093-7816 Ph: (410) 494-1884 | 12221 Tullamore Rd # 3 Lutherville Timonium MD 21093-7816 Ph: (410) 494-1884 |
NPI Number | 1053662858 |
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Provider Enumeration Date | 09/20/2012 |
Last Update Date | 09/20/2012 |
Identifier | Type | State | Issuer |
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1053662858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Mpg Neurohealth Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2328 W Joppa Rd, Suite 10b, Lutherville Timonium, MD 21093 Phone: 410-979-2326 Fax: 877-979-2327 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Texas Station Ct Ste 300, Lutherville Timonium, MD 21093 Phone: 410-828-7417 | |