SOUTH RIVER PRIMARY CARE LLC

Family Medicine

Active Organization
NPI: 1154548303

Practice Address

3168 BRAVERTON ST
SUITE 330
Edgewater, MD 21037

Phone: (410) 956-7830

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes H0056281 (MD)

Frequently Asked Questions

NPI 1154548303 is the National Provider Identifier for SOUTH RIVER PRIMARY CARE LLC, a Family Medicine provider located in Edgewater, MD. This NPI was enumerated on April 19, 2007.

Quick Facts

NPI
1154548303
Type
Organization
Enumerated
Apr 19, 2007
Last Updated
Jul 29, 2009

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