Medstar Medical Group, LLC
NPI #1346514817 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1346514817
- Entity Type
- Organization
- Organization Name
- Medstar Medical Group, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 1, 2012
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 1406 CRAIN HIGHWAY
- Address 2
- SUITE 106
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-4058
- Phone
- (410) 768-6440
Authorized Official
- Name
- EDWARD MILLER, M.D.
- Title
- VICE PRESIDENT
- Phone
- (443) 725-8719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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