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Organization

CALVERTHEALTH MEDICAL GROUP, LLC

Active
Parent organization
CALVERT HEALTH SYSTEM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC.
Authorized official
CAROLYN HEITHAUS (CFO)
(410) 535-8236
Entity
Organization

Contact information

Practice address
625 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678-3915
(410) 414-2788
(410) 535-8795
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 535-8417

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207Q00000X
Family Medicine Physician
Primary
207QB0002X
Obesity Medicine (Family Medicine) Physician
207RB0002X
Obesity Medicine (Internal Medicine) Physician
208600000X
Surgery Physician
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
07/10/2024
Last updated
07/10/2024
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