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Contact Information

BY GRACE MEDICAL GROUP, LLC
1001-1003 E PATAPSCO AVE
BALTIMORE, MD21225
 Phone: 443-694-8208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Case Management

251B00000X
 

Primary Care

261QP2300X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for BY GRACE MEDICAL GROUP, LLC

NPI Number 1679152763
LBN Legal business name BY GRACE MEDICAL GROUP, LLC
Authorized official PAMELA DUKES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2021
Last updated 04/06/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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