| Lawrence Vidaver Md | |
|
1411 Madison Park Dr Glen Burnie MD 21061-5613 | |
| (410) 761-1037 | |
| (410) 298-8225 |
| Full Name | Lawrence Vidaver Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 Madison Park Dr, Glen Burnie, Maryland |
| Authorized Official Name and Position | Louise Macy (BILLING MGR) |
| Authorized Official Contact | 4102988223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Vidaver Md 2506 Larryvale Rd Baltimore MD 21209-3206 Ph: (410) 764-1116 | Lawrence Vidaver Md 1411 Madison Park Dr Glen Burnie MD 21061-5613 Ph: (410) 761-1037 |
| NPI Number | 1336354356 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336354356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 025559 (Maryland) | Primary |
1st Step Medical & 1st Step Greenmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Crain Hwy S Ste 2, Glen Burnie, MD 21061 Phone: 410-582-8170 Fax: 866-401-0775 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Drive, Ste 304, Glen Burnie, MD 21061 Phone: 410-553-8146 | |
Gelsimo A. Cruz, M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Hospital Drive, Suite 230, Glen Burnie, MD 21061 Phone: 410-768-2700 Fax: 410-768-2701 | |
Horizon Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Suite 105, Glen Burnie, MD 21061 Phone: 410-650-4100 Fax: 877-648-1188 | |
Dr. Bamba's Health And Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1406b Crain Hwy S Ste 308, Glen Burnie, MD 21061 Phone: 443-953-8255 | |
Maryland Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7711 Quarterfield Rd Ste A, Glen Burnie, MD 21061 Phone: 410-761-5600 Fax: 410-761-5734 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Hospital Dr Ste 107, Glen Burnie, MD 21061 Phone: 410-553-8300 |