Braddock Medical Group P.a.
NPI #1710980081 in Cumberland, Maryland
Provider Information
- NPI Number
- 1710980081
- Entity Type
- Organization
- Organization Name
- Braddock Medical Group P.a.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 31, 2005
- Last Updated
- Mar 21, 2023
Practice Location
- Address
- 912 SETON DR
- City
- Cumberland
- State
- Maryland
- ZIP Code
- 21502-1818
- Phone
- (301) 722-3111
Authorized Official
- Name
- DR. PAUL TAYLOR LIVENGOOD
- Title
- OWNER
- Phone
- (301) 722-3111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
| Clinic/Center - Primary Care — Primary Care |
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