Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Parent organization
ANNE ARUNDEL PHYSICIAN GROUP, LLC
Other names
ANNAPOLIS PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL PHYSICIAN GROUP, LLC
Authorized official
MELISSA RAPATTONI (AO)
(443) 481-5136
Entity
Organization
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 670, ANNAPOLIS, MD 21401-3046
(443) 481-1150
(410) 224-0065
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175103
—
MD
01
—
953BAN
BCBS
MD
01
—
K640
BCBS
DC
Enumeration date
03/09/2006
Last updated
11/06/2024
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