Organization · Type 2 NPI

Medstar Medical Group II LLC

General Practice Physician · Baltimore, MD

NPI number 1104788413 Active

Practice location

9106 Philadelphia Rd
Baltimore, MD 21237-4329

Mailing address

3007 Tilden St NW Ste 5N
Washington, DC 20008-3030

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104788413

Medstar Medical Group II LLC's National Provider Identifier is 1104788413, issued on Nov 25, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 25, 2025.