# PROFESSIONAL PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114935939
- **Authorized official:** DR. JUDE CABATINGAN MUNESES M.D. (PRESIDENT)
- **Authorized official phone:** (410) 760-1010

## Contact information

- **Practice address:** 7845 OAKWOOD RD, SUITE 100, GLEN BURNIE, MD 21061-4280
- **Practice address phone:** (410) 760-1010
- **Practice address fax:** (410) 787-1056
- **Mailing address:** 7845 OAKWOOD RD, SUITE 100, GLEN BURNIE, MD 21061-4280
- **Mailing address phone:** (410) 760-1010
- **Mailing address fax:** (410) 787-1056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MD | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020