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Contact Information

GENESIS ELDERCARE PHYSICIAN SERVICES I LLC
801 N SALISBURY BLVD
SUITE 201
SALISBURY, MD21801-3624
 Phone: 410-543-1957
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GENESIS ELDERCARE PHYSICIAN SERVICES I LLC · (Female)

NPI # 1700021250
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2008
Last updated 12/17/2008 - About 17 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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