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Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
AAMG Annapolis OB-GYN
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (REIMBURSEMENT ADMINISTRATOR)
(443) 481-6415
Entity
Organization
Contact information
Practice address
18 MAGOTHY BEACH ROAD SUITE A, PASADENA, MD 21122
(410) 573-9530
Mailing address
201 DEFENSE HIGHWAY SUITE 150, ANNAPOLIS, MD 21401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
05/24/2021
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