Premise Health of Maryland Medical P C
NPI #1497274013 in Middle River, Maryland
Provider Information
- NPI Number
- 1497274013
- Entity Type
- Organization
- Organization Name
- Premise Health of Maryland Medical P C
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 14, 2017
- Last Updated
- May 20, 2020
Practice Location
- Address
- 103 CHESAPEAKE PARK PLZ
- City
- Middle River
- State
- Maryland
- ZIP Code
- 21220-4201
- Phone
- (410) 682-1609
Authorized Official
- Name
- DR. JAMES M THIEL, MD
- Title
- PRESIDENT
- Phone
- (844) 407-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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