Crossroads Medical Group, P.a. | |
2700 Quarry Lake Drive Suite 350 Balitmore MD 21209-0000 | |
(410) 998-9955 | |
(410) 998-9961 |
Full Name | Crossroads Medical Group, P.a. |
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Speciality | Internal Medicine |
Location | 2700 Quarry Lake Drive, Balitmore, Maryland |
Authorized Official Name and Position | Samuel I Benesh (PRESIDENT) |
Authorized Official Contact | 4109989955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Medical Group, P.a. 2700 Quarry Lake Drive Suite 350 Baltimore MD 21209-0000 Ph: (410) 998-9955 | Crossroads Medical Group, P.a. 2700 Quarry Lake Drive Suite 350 Balitmore MD 21209-0000 Ph: (410) 998-9955 |
NPI Number | 1720041890 |
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Provider Enumeration Date | 04/10/2006 |
Last Update Date | 01/07/2011 |
Identifier | Type | State | Issuer |
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1720041890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Maryland) | Primary |