Eastern Shore Primary Care | |
1630 Main St Chester MD 21619-2791 | |
(410) 643-4524 | |
(410) 643-4523 |
Full Name | Eastern Shore Primary Care |
---|---|
Speciality | Family Medicine |
Location | 1630 Main St, Chester, Maryland |
Authorized Official Name and Position | Peter Odenwald (VICE PRESIDENT) |
Authorized Official Contact | 4434816415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eastern Shore Primary Care Po Box 12622 Belfast ME 04915-4017 Ph: (443) 481-6576 | Eastern Shore Primary Care 1630 Main St Chester MD 21619-2791 Ph: (410) 643-4524 |
NPI Number | 1831463298 |
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Provider Enumeration Date | 03/02/2012 |
Last Update Date | 05/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831463298 | NPI | - | NPPES |
830799 | Other | MD | AETNA HMO |
8580111 | Other | MD | AETNA PPO |
AB1100 | Other | CAREFIRST | |
4071751-37 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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We Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Chester Plz, Chester, MD 21619 Phone: 410-417-7709 | |
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