On-time Medical Group Inc | |
9846 Liberty Rd Randallstown MD 21133-2007 | |
(410) 754-4343 | |
Not Available |
Full Name | On-time Medical Group Inc |
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Speciality | Clinic/Center |
Location | 9846 Liberty Rd, Randallstown, Maryland |
Authorized Official Name and Position | Helen Tanwani (CEO) |
Authorized Official Contact | 4438513082 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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On-time Medical Group Inc 9846 Liberty Rd Randallstown MD 21133-2007 Ph: () - | On-time Medical Group Inc 9846 Liberty Rd Randallstown MD 21133-2007 Ph: (410) 754-4343 |
NPI Number | 1023854155 |
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Provider Enumeration Date | 07/08/2024 |
Last Update Date | 07/08/2024 |
Medicare PECOS PAC ID | 7618417627 |
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Medicare Enrollment ID | O20240905000879 |
Identifier | Type | State | Issuer |
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1023854155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Clarise Mba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376305631 PECOS PAC ID: 7012451156 Enrollment ID: I20240731001510 |
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