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Contact Information

TRIDENT MEDICAL GROUP PA
10440 LITTLE PATUXENT PKWY STE 300
COLUMBIA, MD21044-3648
 Phone: 855-770-7771
 Fax: 415-808-6405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Public Health

213EP0504X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TRIDENT MEDICAL GROUP PA · (Female)

NPI Number 1083368831
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2022
Last updated 11/14/2022 - About 4 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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