Centennial Medical Group, PA

NPI #1487393385 in Odenton, Maryland

Provider Information

NPI Number: 1487393385
Entity Type: Organization
Organization Name: Centennial Medical Group, PA
Subpart: Yes (part of a larger organization)
Parent Organization: CENTENNIAL MEDICAL GROUP
Primary Specialty: Family Medicine
Enumeration Date: May 31, 2022
Last Updated: Sep 18, 2024

Practice Location

Address: 1425 ANNAPOLIS RD
City: Odenton
State: Maryland
ZIP Code: 21113-1012
Phone: (410) 721-2333

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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