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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

NPI # 1245579762
LBN Legal business name GENESIS ELDER CARE PHYSICIAN SERVICES LLC
Authorized official ERIC SHAPIRO - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2013
Last updated 08/05/2019 - About 7 years ago
Identifiers
ID License # C196800
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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