Gmf Medical Llc | |
6701 N Charles St Suite 4202 Towson MD 21204-6808 | |
(410) 400-2830 | |
(410) 821-6237 |
Full Name | Gmf Medical Llc |
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Speciality | Internal Medicine |
Location | 6701 N Charles St, Towson, Maryland |
Authorized Official Name and Position | Gino Freeman (OWNER) |
Authorized Official Contact | 4437424424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gmf Medical Llc 6701 N Charles St Suite 4202 Towson MD 21204-6808 Ph: (410) 400-2830 | Gmf Medical Llc 6701 N Charles St Suite 4202 Towson MD 21204-6808 Ph: (410) 400-2830 |
NPI Number | 1205079217 |
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Provider Enumeration Date | 04/07/2009 |
Last Update Date | 11/11/2015 |
Medicare PECOS PAC ID | 0648316000 |
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Medicare Enrollment ID | O20091015000363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205079217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Maryland) | Primary |
Provider Name | Gino Freeman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770526105 PECOS PAC ID: 6103855234 Enrollment ID: I20050816000598 |
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