| Glen Burnie Endoscopy, Llc | |
|
8028 Ritchie Highway Suite 142 Pasadena MD 21122 | |
| (410) 766-1012 | |
| (410) 766-2415 |
| Full Name | Glen Burnie Endoscopy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8028 Ritchie Highway, Pasadena, Maryland |
| Authorized Official Name and Position | Alif A Manejwala (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4107661012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Burnie Endoscopy, Llc 8028 Ritchie Highway Suite 142 Pasadena MD 21122 Ph: (410) 766-1012 | Glen Burnie Endoscopy, Llc 8028 Ritchie Highway Suite 142 Pasadena MD 21122 Ph: (410) 766-1012 |
| NPI Number | 1740387257 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 7618126996 |
|---|---|
| Medicare Enrollment ID | O20121002000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740387257 | NPI | - | NPPES |
| 1012002-00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A1208 (Maryland) | Primary |
| Provider Name | Alif Manejwala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679681902 PECOS PAC ID: 7012056880 Enrollment ID: I20091208000422 |
| Provider Name | George Kurian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285663070 PECOS PAC ID: 2163558610 Enrollment ID: I20100413000045 |
| Provider Name | Richard Alan Baum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104888254 PECOS PAC ID: 8921291964 Enrollment ID: I20101021001359 |
| Provider Name | David Md Fishbein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295753523 PECOS PAC ID: 0547436610 Enrollment ID: I20111221000103 |
| Provider Name | Hwan Y Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730173436 PECOS PAC ID: 3476542978 Enrollment ID: I20140630000540 |
| Provider Name | Matilda N Hagan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346417912 PECOS PAC ID: 1759575947 Enrollment ID: I20141114001795 |
Lake Shore Physician Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Postal Court, Pasadena, MD 21122 Phone: 410-432-3200 Fax: 410-437-9402 | |
Anne Arundel Medical Group- Pasadena Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8109 Ritchie Hwy, Suite 100, Pasadena, MD 21122 Phone: 443-270-8600 Fax: 443-270-8990 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Postal Ct Ste 101, Pasadena, MD 21122 Phone: 410-553-8260 | |
Cyriac And Mundra, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8021 Ritchie Hwy, Pasadena, MD 21122 Phone: 410-761-8200 Fax: 410-761-1331 | |
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