Organization
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHAPIRO (VP/CONTROLLER)
(410) 832-7790
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, TOWSON, MD 21286-5466
(410) 832-7790
Mailing address
PO BOX 42738, TOWSON, MD 21284-2738
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
04/13/2018
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