| |
200 E Vine St Ste B Salisbury MD 21804-5531 | |
(443) 358-6239 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 200 E Vine St Ste B, Salisbury, Maryland |
Authorized Official Name and Position | Raymond Kostkowski (CEO) |
Authorized Official Contact | 4436794309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1111 Benfield Blvd Ste 250 Millersville MD 21108-3005 Ph: (443) 679-4309 | 200 E Vine St Ste B Salisbury MD 21804-5531 Ph: (443) 358-6239 |
NPI Number | 1477063386 |
---|---|
Provider Enumeration Date | 10/05/2017 |
Last Update Date | 03/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477063386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Oc Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Dr Ste 14, Salisbury, MD 21801 Phone: 301-801-2551 | |
Tidalhealth Specialty Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Woodbrooke Dr Ste A, Salisbury, MD 21804 Phone: 410-912-6716 | |
Daniel E Makas Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Riverside Dr, Ste 6, Salisbury, MD 21801 Phone: 410-677-3736 Fax: 410-677-0922 | |
A Plus Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2324 N Zion Rd Ste 107, Salisbury, MD 21801 Phone: 301-326-2997 |