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Contact Information

CALVERTHEALTH MEDICAL GROUP, LLC
110 HOSPITAL RD STE 203
PRINCE FREDERICK, MD20678-4045
 Phone: 410-414-4740
 Fax: 410-414-4741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1013754969
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2024
Last updated 07/10/2024 - More than a year 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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