# M MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M Medical Group FC Irvington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447076203
- **Authorized official:** KRYSTLE D BROWN (BILLING MANAGER)
- **Authorized official phone:** (410) 800-6251

## Contact information

- **Practice address:** 22 S ATHOL AVE, BALTIMORE, MD 21229-3405
- **Practice address phone:** (410) 766-1995
- **Mailing address:** 22 S ATHOL AVE, BALTIMORE, MD 21229-3405
- **Mailing address phone:** (410) 766-1995

## Taxonomy

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

## Other

- **Enumeration date:** 11/26/2024
- **Last updated:** 11/26/2024