Organization
MID-SHORE INTERNAL MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MATTHEW REINBOLD M.D. (OWNER)
(410) 754-5505
Entity
Organization
Contact information
Practice address
321 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1727
(410) 754-5505
(410) 754-5544
Mailing address
321 BLOOMINGDALE AVE, FEDERALSBURG, MD 21632-1727
(410) 754-5505
(410) 754-5544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053094
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144000400
—
MD
Enumeration date
09/25/2006
Last updated
06/19/2008
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