Mace Medical LLC

NPI #1114374360 in Essex, Maryland

Provider Information

NPI Number: 1114374360
Entity Type: Organization
Organization Name: Mace Medical LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 1124 MACE AVE
City: Essex
State: Maryland
ZIP Code: 21221-3315
Phone: (410) 391-6996

Authorized Official

Name: DR. JOHN M LEE, M.D.
Title: PHYSICIAN
Phone: (410) 391-6996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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