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Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Annapolis Thoracic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
1630 MAIN ST, SUITE 213, CHESTER, MD 21619-2791
(443) 481-3300
(443) 481-3315
Mailing address
PO BOX 412752, BOSTON, MA 02241-4017
(443) 481-6538
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
02/22/2023
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