South River Internal Medicine, PA

NPI #1710131024 in Edgewater, Maryland

Provider Information

NPI Number
1710131024
Entity Type
Organization
Organization Name
South River Internal Medicine, PA
Primary Specialty
Internal Medicine
Enumeration Date
Nov 13, 2008
Last Updated
Sep 2, 2024

Practice Location

Address
3168 BRAVERTON ST STE 250
ZIP Code
21037-2682
Phone
(410) 956-1600

Authorized Official

Name
MS. RENEE LYNN NYE
Title
AMA/FRONT OFFICE MANAGER
Phone
(410) 956-1600

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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