Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group Cardiology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE WOOD (EXEC DIRECT OF PHYS REIMBURSEMENT)
(443) 481-6521
Entity
Organization
Contact information
Practice address
105 AURORA ST, CAMBRIDGE, MD 21613-1903
(410) 897-0822
(410) 897-0095
Mailing address
2001 MEDICAL PKWY, MEDICAL STAFF OFFICE, ANNAPOLIS, MD 21401-3773
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153989
MEDICARE
MD
Enumeration date
11/21/2018
Last updated
05/21/2021
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