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Contact Information

GENESIS ELDER CARE PHYSICIAN SERVICES LLC
6508 DEER POINTE DR STE A
SALISBURY, MD21804
 Phone: 410-543-1957
 Fax: 410-543-2951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GENESIS ELDER CARE PHYSICIAN SERVICES LLC · (Female)

NPI Number 1245579762
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2013
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID License # C196800
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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