Union Bridge Family Practice | |
104 N Main St Union Bridge MD 21791-9102 | |
(410) 775-2622 | |
(410) 775-2050 |
Full Name | Union Bridge Family Practice |
---|---|
Speciality | Family Medicine |
Location | 104 N Main St, Union Bridge, Maryland |
Authorized Official Name and Position | Michelle K Mahan (SR VP AND CFO) |
Authorized Official Contact | 2405663355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Union Bridge Family Practice Po Box 1110 Union Bridge MD 21791-1110 Ph: (410) 775-2622 | Union Bridge Family Practice 104 N Main St Union Bridge MD 21791-9102 Ph: (410) 775-2622 |
NPI Number | 1619245289 |
---|---|
Provider Enumeration Date | 12/09/2011 |
Last Update Date | 07/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619245289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Alliance Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 N Main St, Union Bridge, MD 21791 Phone: 410-775-2622 Fax: 410-848-5629 |