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Organization

GENESIS ELDERCARE PHYSICIAN SERVICES I LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE M TREGOE (DIRECTOR OF BUSINESS OPERATIONS)
(410) 543-8870
Entity
Organization

Contact information

Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
801 N SALISBURY BLVD, SUITE 201, SALISBURY, MD 21801-3624
(410) 543-1957

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RP1001X
Pulmonary Disease Physician

Other

Enumeration date
12/11/2008
Last updated
12/12/2008
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