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Contact Information

MEDSTAR MEDICAL GROUP II LLC
JOHNTSON PROFESSIONAL BUILDING
3333 NORTH CALVERT ST., SUITE 101
BALTIMORE, MD21218
 Phone: 410-554-2270
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MEDSTAR MEDICAL GROUP II LLC · (Female)

NPI Number 1861085862
Status Active
Credentials
Entity Individual
Enumeration date 02/19/2021
Last updated 06/20/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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