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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
Chester River OB/GYN
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization

Contact information

Practice address
521 WASHINGTON AVE, CHESTERTOWN, MD 21620-1217
(410) 810-0767
(410) 630-1677
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6482
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
01/24/2012
Last updated
05/24/2021
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