National Provider Identifier Database

TRIDENT MEDICAL GROUP PA
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


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
* Internal Medicine 207R00000X
Public Health 213EP0504X

* Indicates primary specialty

NPI Profile & details for TRIDENT MEDICAL GROUP PA

NPI Number 1083368831
Legal business name
LBN
TRIDENT MEDICAL GROUP PA
Authorized official DEVION SMITH - (DIRECTOR, PAYER CONTRACTING)
Entity Organization
Organization subpart No
Enumeration date 02/10/2022
Last updated 11/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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