University Of Maryland St. Joseph Medical Group, Llc | |
3455 Wilkens Ave Ste 303 Baltimore MD 21229-5214 | |
(410) 525-1105 | |
Not Available |
Full Name | University Of Maryland St. Joseph Medical Group, Llc |
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Speciality | General Practice |
Location | 3455 Wilkens Ave Ste 303, Baltimore, Maryland |
Authorized Official Name and Position | Thomas Smyth (PRESIDENT AND CEO) |
Authorized Official Contact | 4103281376 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Of Maryland St. Joseph Medical Group, Llc 900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 Ph: () - | University Of Maryland St. Joseph Medical Group, Llc 3455 Wilkens Ave Ste 303 Baltimore MD 21229-5214 Ph: (410) 525-1105 |
NPI Number | 1801642830 |
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Provider Enumeration Date | 04/29/2024 |
Last Update Date | 04/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801642830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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