| Excelsia Physicians Group Llc | |
|
9601 Pulaski Park Dr Ste 417 Baltimore MD 21220-1409 | |
| (410) 294-7786 | |
| Not Available |
| Full Name | Excelsia Physicians Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9601 Pulaski Park Dr Ste 417, Baltimore, Maryland |
| Authorized Official Name and Position | Jonathan Dunn (PRESIDENT) |
| Authorized Official Contact | 4106874405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsia Physicians Group Llc 9601 Pulaski Park Dr Ste 417 Baltimore MD 21220-1409 Ph: (410) 294-7786 | Excelsia Physicians Group Llc 9601 Pulaski Park Dr Ste 417 Baltimore MD 21220-1409 Ph: (410) 294-7786 |
| NPI Number | 1659086361 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 8628436995 |
|---|---|
| Medicare Enrollment ID | O20230619000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659086361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan Dunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558312983 PECOS PAC ID: 6002841228 Enrollment ID: I20230628000186 |
| Provider Name | Mark A Reischer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730162801 PECOS PAC ID: 9638247893 Enrollment ID: I20230821003831 |
| Provider Name | Andrew Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588658082 PECOS PAC ID: 2264597830 Enrollment ID: I20230825002219 |
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