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Physicians Family Medicine

Provider NPI: 1255413969

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
111 W HIGH ST SUITE 314 ELKTON, MD 21921-5529 US
Tel: 410-398-4679  Fax: --

Business Mailing Address:
111 W HIGH ST SUITE 314 ELKTON, MD 21921-5529 US
Tel: 410-398-4679  Fax: --

NPI Information:
NPI: 1255413969
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Family Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Q00000X





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