Mid Atlantic Internal Medicine | |
8021 Ritchie Highway Pasadena MD 21122-1016 | |
(410) 590-4616 | |
(410) 590-4619 |
Full Name | Mid Atlantic Internal Medicine |
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Speciality | Internal Medicine |
Location | 8021 Ritchie Highway, Pasadena, Maryland |
Authorized Official Name and Position | Sherry Sood (OWNER) |
Authorized Official Contact | 4105904616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid Atlantic Internal Medicine 8021 Ritchie Highway Pasadena MD 21122-1016 Ph: (410) 590-4616 | Mid Atlantic Internal Medicine 8021 Ritchie Highway Pasadena MD 21122-1016 Ph: (410) 590-4616 |
NPI Number | 1225268576 |
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Provider Enumeration Date | 07/21/2009 |
Last Update Date | 01/16/2019 |
Medicare PECOS PAC ID | 5395881395 |
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Medicare Enrollment ID | O20091005000734 |
Identifier | Type | State | Issuer |
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1225268576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0067987 (Maryland) | Primary |
Provider Name | Sherry Sood |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073613972 PECOS PAC ID: 5395747844 Enrollment ID: I20091005000711 |
Provider Name | Lauren Corsiglia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356700215 PECOS PAC ID: 8426346727 Enrollment ID: I20161019000048 |
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