| Univ Of Md Med Grp - Gim | |
|
22 S Greene St Baltimore MD 21201-1590 | |
| (667) 214-1515 | |
| (410) 328-8326 |
| Full Name | Univ Of Md Med Grp - Gim |
|---|---|
| Speciality | Internal Medicine |
| Location | 22 S Greene St, Baltimore, Maryland |
| Authorized Official Name and Position | Kimberly Lingenfelter (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4103288040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Univ Of Md Med Grp - Gim Po Box 64442 Baltimore MD 21264-4442 Ph: (410) 328-8040 | Univ Of Md Med Grp - Gim 22 S Greene St Baltimore MD 21201-1590 Ph: (667) 214-1515 |
| NPI Number | 1104877075 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104877075 | NPI | - | NPPES |
| 1104877075 | Medicaid | DE | |
| 034460902 | Medicaid | DC | |
| 764571600 | Medicaid | MD |
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