Laurel Medical Associates, Llc | |
13635 Baltimore Ave Laurel MD 20707-5095 | |
(301) 497-0401 | |
(301) 497-0402 |
Full Name | Laurel Medical Associates, Llc |
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Speciality | Internal Medicine |
Location | 13635 Baltimore Ave, Laurel, Maryland |
Authorized Official Name and Position | Darryl Anthony Hill (MEDICAL DIRECTOR) |
Authorized Official Contact | 3014970401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laurel Medical Associates, Llc 13635 Baltimore Ave Laurel MD 20707-5095 Ph: (301) 497-0401 | Laurel Medical Associates, Llc 13635 Baltimore Ave Laurel MD 20707-5095 Ph: (301) 497-0401 |
NPI Number | 1609064047 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 02/21/2014 |
Medicare PECOS PAC ID | 7113937327 |
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Medicare Enrollment ID | O20060503000218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609064047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0053235 (Maryland) | Primary |
Provider Name | Darryl A Hill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013978790 PECOS PAC ID: 6103836317 Enrollment ID: I20060503000229 |
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