# DUNDALK MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dundalk Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619514049
- **Authorized official:** DEEPAK SETH MD (OWNER)
- **Authorized official phone:** (410) 284-1004

## Contact information

- **Practice address:** 207 WISE AVENUE, DUNDALK, MD 21222-4911
- **Practice address phone:** (410) 284-1004
- **Practice address fax:** (410) 284-2109
- **Mailing address:** 207 WISE AVENUE, DUNDALK, MD 21222-4911
- **Mailing address phone:** (410) 284-1004
- **Mailing address fax:** (410) 284-2109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 04/02/2022