Organization
MEDSTAR MEDICAL GROUP II LLC
Active
Parent organization
MEDSTAR MEDICAL GROUP II LLC
Other names
MMG PSYCH AT GOODSAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAR MEDICAL GROUP II LLC
Authorized official
STEPHANIE SCHNEIDER (VP)
(702) 558-1403
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD STE 406, BALTIMORE, MD 21239-2949
(443) 444-4540
Mailing address
2000 15TH ST N STE 600, ARLINGTON, VA 22201-2900
(703) 558-1400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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