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6333 Baltimore National Pike Catonsville MD 21228-3910 | |
| (804) 968-5700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 6333 Baltimore National Pike, Catonsville, Maryland |
| Authorized Official Name and Position | George H. Morison (PRESIDET) |
| Authorized Official Contact | 8049685700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 968-5700 | 6333 Baltimore National Pike Catonsville MD 21228-3910 Ph: (804) 968-5700 |
| NPI Number | 1215229901 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 4385538735 |
|---|---|
| Medicare Enrollment ID | O20121206000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215229901 | NPI | - | NPPES |
| CH7434 | Other | MD | MEDICARE RAILROAD GROUP NUMBER |
| CH7433 | Other | MD | MEDICARE RAILROAD MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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