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103 Chesapeake Park Plz Middle River MD 21220-4201 | |
(410) 682-1609 | |
(410) 682-1458 |
Full Name | |
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Speciality | Clinic/center |
Location | 103 Chesapeake Park Plz, Middle River, Maryland |
Authorized Official Name and Position | James M Thiel (PRESIDENT) |
Authorized Official Contact | 8444077557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 103 Chesapeake Park Plz Middle River MD 21220-4201 Ph: (410) 682-1609 |
NPI Number | 1497274013 |
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Provider Enumeration Date | 09/14/2017 |
Last Update Date | 05/20/2020 |
Identifier | Type | State | Issuer |
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1497274013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Health Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Irondale St Ste 120, Middle River, MD 21220 Phone: 410-687-3924 Fax: 410-687-4195 | |
Sticks R Us Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1515 Martin Blvd Ste 108, Middle River, MD 21220 Phone: 800-354-8935 Fax: 443-231-6767 | |