Privia Medical Group, Llc | |
2850 N Ridge Rd Ste 203 Ellicott City MD 21043-3463 | |
(410) 770-2793 | |
Not Available |
Full Name | Privia Medical Group, Llc |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 2850 N Ridge Rd Ste 203, Ellicott City, Maryland |
Authorized Official Name and Position | Maria Gabbai (ENROLLMENT MANAGER) |
Authorized Official Contact | 4845699066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Privia Medical Group, Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 982-6636 | Privia Medical Group, Llc 2850 N Ridge Rd Ste 203 Ellicott City MD 21043-3463 Ph: (410) 770-2793 |
NPI Number | 1114789518 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 01/30/2024 |
Identifier | Type | State | Issuer |
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1114789518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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