| Premier Medical Group Of Maryland Llc | |
|
516 N Rolling Rd Ste 108 Catonsville MD 21228-4141 | |
| (410) 709-7432 | |
| Not Available |
| Full Name | Premier Medical Group Of Maryland Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 516 N Rolling Rd Ste 108, Catonsville, Maryland |
| Authorized Official Name and Position | Mary Olubunmi Fakorede (MD) |
| Authorized Official Contact | 4107097432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Group Of Maryland Llc 516 N Rolling Rd Ste 108 Catonsville MD 21228-4141 Ph: (410) 709-7432 | Premier Medical Group Of Maryland Llc 516 N Rolling Rd Ste 108 Catonsville MD 21228-4141 Ph: (410) 709-7432 |
| NPI Number | 1972368587 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972368587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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