Premier Physician Group, Llc | |
6430 Rockledge Drive Suite 470 Bethesda MD 20817 | |
(301) 896-6931 | |
(301) 581-0077 |
Full Name | Premier Physician Group, Llc |
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Speciality | Surgery |
Location | 6430 Rockledge Drive, Bethesda, Maryland |
Authorized Official Name and Position | Matthew G Poffenroth (PRESIDENT / CEO) |
Authorized Official Contact | 3018966900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Physician Group, Llc Po Box 791372 Baltimore MD 21279-1372 Ph: (301) 896-6931 | Premier Physician Group, Llc 6430 Rockledge Drive Suite 470 Bethesda MD 20817 Ph: (301) 896-6931 |
NPI Number | 1801064704 |
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Provider Enumeration Date | 02/13/2008 |
Last Update Date | 11/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801064704 | NPI | - | NPPES |
415096100 | Medicaid | MD |
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