| Greenspring Personal Medicine, Llc | |
|
2328 W Joppa Rd Ste 310 Lutherville MD 21093-4685 | |
| (410) 616-2804 | |
| (410) 583-7147 |
| Full Name | Greenspring Personal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2328 W Joppa Rd Ste 310, Lutherville, Maryland |
| Authorized Official Name and Position | Jeffrey Magaziner (MEMBER) |
| Authorized Official Contact | 4107184840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenspring Personal Medicine, Llc 2328 W Joppa Rd Ste 310 Lutherville MD 21093-4685 Ph: (410) 616-2804 | Greenspring Personal Medicine, Llc 2328 W Joppa Rd Ste 310 Lutherville MD 21093-4685 Ph: (410) 616-2804 |
| NPI Number | 1982329926 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 7517337918 |
|---|---|
| Medicare Enrollment ID | O20221229001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982329926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey L Magaziner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881638377 PECOS PAC ID: 5092811604 Enrollment ID: I20070427000302 |
| Provider Name | Himani S Shishodia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932197969 PECOS PAC ID: 4284548611 Enrollment ID: I20100323000174 |
| Provider Name | Tammy D Hadley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598766958 PECOS PAC ID: 8628151354 Enrollment ID: I20101004001175 |
| Provider Name | Amy Tracy Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609019132 PECOS PAC ID: 3375790785 Enrollment ID: I20120820000797 |
| Provider Name | Justin Ewen Elfrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386968253 PECOS PAC ID: 8426207697 Enrollment ID: I20130814000611 |
| Provider Name | Diane Pressman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104115054 PECOS PAC ID: 9931327434 Enrollment ID: I20140825002411 |
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