# MARYLAND MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1467173203
- **Authorized official:** MR. TRUONG BAO M.D. (CEO)
- **Authorized official phone:** (301) 780-4745

## Contact information

- **Practice address:** 10110 MOLECULAR DR STE 114, ROCKVILLE, MD 20850-7538
- **Practice address phone:** (301) 780-4745
- **Practice address fax:** (301) 605-7550
- **Mailing address:** 10110 MOLECULAR DR STE 114, ROCKVILLE, MD 20850-7538
- **Mailing address phone:** (301) 780-4745
- **Mailing address fax:** (301) 605-7550

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2022
- **Last updated:** 04/29/2024