Organization
CARROLL FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G UGGOWITZER M.D. (PRESIDENT/OWNER)
(410) 239-0406
Entity
Organization
Contact information
Practice address
814 HOUCKSVILLE RD, HAMPSTEAD, MD 21074-1882
(410) 239-0406
(410) 239-0407
Mailing address
814 HOUCKSVILLE RD, HAMPSTEAD, MD 21074-1882
(410) 239-0406
(410) 239-0407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0877346
AETNA US HEALTHCARE
MD
01
—
10112104
CIGNA
MD
01
—
11071
PREFERRED HEALTH NETWORK
MD
01
—
4508793
AETNA MC/PPO/EPO
MD
05
—
745191100
—
MD
01
—
CN 7035
RAILROAD MEDICARE
MD
01
—
E289
BC/BS FED/BLUE CHOICE
MD
01
—
KC91CA
BC/BS PAR/PPN/POS
MD
01
—
MAMSI
250778
MD
Enumeration date
07/05/2006
Last updated
03/14/2025
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