Organization · Type 2 NPI
Internal Medicine Practice, P.a.
Primary Care Clinic/Center · Hagerstown, MD
NPI number
1336231950
Active
Practice location
324 E Antietam St Ste 306
Hagerstown, MD 21740-5768
Fax (301) 797-8546
Mailing address
18300 Thundercloud Rd
Boyds, MD 20841-4380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1336231950
Internal Medicine Practice, P.a.'s National Provider Identifier is 1336231950, issued on Sep 29, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hagerstown, MD. The record was last updated on Feb 6, 2012.