Organization · Type 2 NPI

Luminis Health Medical Group, LLC

Family Medicine Physician · Edgewater, MD

NPI number 1699742874 Active

Practice location

3169 Braverton St, Suite 201
Edgewater, MD 21037-2679

Call (410) 956-4911 Map

Fax (410) 956-4935

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Edgewater

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NPI record

NPI: 1699742874
Entity type: Organization (Type 2)
Issued: Mar 7, 2006
Last updated: Nov 5, 2024
Status: Active
Subpart: Yes of Anne Arundel Physician Group LLC

Other names

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South River Family Medicine · doing business as
South River Family Medicine · doing business as

Authorized official

Melissa Rapattoni
Ao
(443) 481-5136

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699742874

Luminis Health Medical Group, LLC's National Provider Identifier is 1699742874, issued on Mar 7, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Edgewater, MD. The record was last updated on Nov 5, 2024.