Organization
HELIXCARE MEDICAL GROUP, LLC
Active
Other names
Middle River Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L. STEELE-WHITE (CREDENTIALING ASSOCIATE)
(410) 933-3073
Entity
Organization
Contact information
Practice address
107 BEACON RD, BALTIMORE, MD 21220-3504
(410) 686-9019
(410) 687-1975
Mailing address
107 BEACON RD, BALTIMORE, MD 21220-3504
(410) 686-9019
(410) 687-1975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC3132
RAILROAD MEDICARE
MD
01
—
KT80
CAREFIRST OF MD
MD
01
—
W652
CAREFIRST OF DC
MD
Enumeration date
06/18/2009
Last updated
06/18/2009
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