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Contact Information

OPAL MEDICAL GROUP, P.A.
1126 OPAL COURT
HAGERSTOWN, MD21740
 Phone: 240-420-2666
 Fax: 240-420-0951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OPAL MEDICAL GROUP, P.A.

NPI Number 1477639862
LBN Legal business name OPAL MEDICAL GROUP, P.A.
Authorized official AMY HOSE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 02/24/2010 - About 16 years ago
Identifiers
MD License # D52323
MD Medicaid 404343000
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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