Centennial Medical Group, PA

NPI #1093584930 in Burtonsville, Maryland

Provider Information

NPI Number: 1093584930
Entity Type: Organization
Organization Name: Centennial Medical Group, PA
Primary Specialty: Family Medicine
Enumeration Date: Dec 20, 2023
Last Updated: Sep 18, 2024

Practice Location

Address: 15646 OLD COLUMBIA PIKE
City: Burtonsville
State: Maryland
ZIP Code: 20866-1630
Phone: (410) 730-3399

Authorized Official

Name: DR. RAJIV DUA, MD
Title: MEDICAL DIRECTOR
Phone: (410) 730-3399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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