| Richard D. Maffezzoli Llc | |
|
515 Fairmount Ave Suite 330 Towson MD 21286-5466 | |
| (410) 494-1213 | |
| (410) 494-1233 |
| Full Name | Richard D. Maffezzoli Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 Fairmount Ave, Towson, Maryland |
| Authorized Official Name and Position | Richard D Maffezzoli (SOLE PRIOPRITOR) |
| Authorized Official Contact | 4104941213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Maffezzoli Llc 19 Seminary Dr Lutherville MD 21093-4757 Ph: (410) 494-1213 | Richard D. Maffezzoli Llc 515 Fairmount Ave Suite 330 Towson MD 21286-5466 Ph: (410) 494-1213 |
| NPI Number | 1871775981 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 04/19/2011 |
| Medicare PECOS PAC ID | 7113001314 |
|---|---|
| Medicare Enrollment ID | O20080227000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871775981 | NPI | - | NPPES |
| 025571800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | DO7132 (Maryland) | Primary |
| Provider Name | Richard D Maffezzoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669438214 PECOS PAC ID: 8820985054 Enrollment ID: I20071231000135 |
Walter B Koppel Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Lasalle Rd, Suite #202, Towson, MD 21286 Phone: 443-279-0330 Fax: 443-279-0334 | |
Nze Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7801 York Rd Ste 200, Towson, MD 21204 Phone: 443-288-0980 Fax: 443-288-0981 | |
Linda A Lee, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 Kenilworth Dr, Suite 206, Towson, MD 21204 Phone: 410-321-1082 | |
Trina Kapoor Frankel Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7600 Osler Dr Ste 113, Towson, MD 21204 Phone: 410-296-4040 Fax: 410-510-1680 | |
Towson Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 York Rd, Suite 102, Towson, MD 21204 Phone: 410-769-4920 Fax: 410-296-4205 | |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-4480 | |
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