| |
5450 Knoll North Dr Ste 100 Columbia MD 21045-2366 | |
(410) 368-1370 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 5450 Knoll North Dr Ste 100, Columbia, Maryland |
Authorized Official Name and Position | Mary Rebecca Wright-sisk (DIRECTOR) |
Authorized Official Contact | 4434229941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5450 Knoll North Dr Ste 100 Columbia MD 21045-2366 Ph: (410) 601-1800 | 5450 Knoll North Dr Ste 100 Columbia MD 21045-2366 Ph: (410) 368-1370 |
NPI Number | 1477102309 |
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Provider Enumeration Date | 09/04/2019 |
Last Update Date | 11/09/2021 |
Identifier | Type | State | Issuer |
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1477102309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
University Of Maryland Physicians, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5890 Waterloo Rd, Columbia, MD 21045 Phone: 410-667-2142 Fax: 410-799-9097 | |