# CALVERT HEALTH VENTURES INC

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

## Provider details

- **NPI number:** 1275559312
- **Authorized official:** SCOTT K INTNER (DIRECTOR OF PHYSICIAN PRACTICE DEVE)
- **Authorized official phone:** (410) 414-2709

## Contact information

- **Practice address:** 110 HOSPITAL RD, PRINCE FREDERICK, MD 20678
- **Practice address phone:** (410) 414-4791
- **Practice address fax:** (410) 414-4727
- **Mailing address:** PO BOX 630167, BALTIMORE, MD 21263
- **Mailing address phone:** (410) 414-4791
- **Mailing address fax:** (410) 414-4727

## Taxonomy

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

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4006216 | — | MD |
