Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group - Neurology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
1630 MAIN ST, CHESTER, MD 21619-2791
(443) 481-1940
(443) 481-1941
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6467
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124015300
—
MD
Enumeration date
01/16/2015
Last updated
05/21/2021
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