# MDICS REHABILITATIVE SERVICES LLC

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

## Provider details

- **NPI number:** 1124313309
- **Authorized official:** TIM DELBRUGGE (CFO)
- **Authorized official phone:** (301) 693-8707

## Contact information

- **Practice address:** 6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
- **Practice address phone:** (443) 949-0814
- **Practice address fax:** (443) 949-0825
- **Mailing address:** PO BOX 69231, BALTIMORE, MD 21264-9231
- **Mailing address phone:** (443) 949-0814
- **Mailing address fax:** (443) 949-0825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2011
- **Last updated:** 01/12/2024