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Organization

CEDAR HOUSE PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MEYERS (OWNER)
(800) 355-0808
Entity
Organization

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
PO BOX 13377, PHILADELPHIA, PA 19101-3377
(215) 442-5000
(215) 957-2875

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-KZ13-CE
BLUE SHIELD
MD
01
2054
BLUE SHIELD
DC
Enumeration date
03/31/2008
Last updated
04/20/2008
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