# LUMINIS HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chester River OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841561701
- **Authorized official:** PETER ODENWALD (VICE PRESIDENT)
- **Authorized official phone:** (443) 481-6415

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2012
- **Last updated:** 05/24/2021