Health Md Llc | |
12 Irondale St Ste 120 Middle River MD 21220-2172 | |
(410) 687-3924 | |
(410) 687-4195 |
Full Name | Health Md Llc |
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Speciality | Internal Medicine |
Location | 12 Irondale St Ste 120, Middle River, Maryland |
Authorized Official Name and Position | Manuel Perez-bonnelly (OWNER) |
Authorized Official Contact | 4106873924 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Md Llc 12 Irondale St Ste 120 Middle River MD 21220-2172 Ph: (410) 687-3924 | Health Md Llc 12 Irondale St Ste 120 Middle River MD 21220-2172 Ph: (410) 687-3924 |
NPI Number | 1568823854 |
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Provider Enumeration Date | 03/14/2016 |
Last Update Date | 01/02/2024 |
Medicare PECOS PAC ID | 1850685629 |
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Medicare Enrollment ID | O20160802003107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568823854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Manuel E. Perez Bonnelly |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508815283 PECOS PAC ID: 6608814256 Enrollment ID: I20080925000401 |
Provider Name | Edwin E Pimentel-brugal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407006992 PECOS PAC ID: 1850446493 Enrollment ID: I20121128000326 |
Sticks R Us Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 Martin Blvd Ste 108, Middle River, MD 21220 Phone: 800-354-8935 Fax: 443-231-6767 | |