Medstar Medical Group, Llc | |
2021 K St Nw Suite 310 Washington DC 20006-1003 | |
(202) 429-2401 | |
(202) 429-4341 |
Full Name | Medstar Medical Group, Llc |
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Speciality | Internal Medicine |
Location | 2021 K St Nw, Washington, District Of Columbia |
Authorized Official Name and Position | Eric R. Wagner (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 4107726595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medstar Medical Group, Llc 8094 Sandpiper Cir Suite O Baltimore MD 21236-4907 Ph: (410) 933-3017 | Medstar Medical Group, Llc 2021 K St Nw Suite 310 Washington DC 20006-1003 Ph: (202) 429-2401 |
NPI Number | 1255608139 |
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Provider Enumeration Date | 11/21/2011 |
Last Update Date | 02/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255608139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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