Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Parent organization
ANNE ARUNDEL PHYSICIAN GROUP, LLC
Other names
ARNOLD FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL PHYSICIAN GROUP, LLC
Authorized official
MR. STEVE CLARKE (VICE PRESIDENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
1460 RITCHIE HWY, SUITE 202, ARNOLD, MD 21012-2497
(410) 757-6327
(410) 757-8461
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-5047
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175118
—
MD
01
—
954BAR
BCBS
MD
01
—
K642
BCBS
DC
Enumeration date
03/07/2006
Last updated
05/21/2021
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