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Organization

AZAM BAIG,M.D.

Active
Other names
South River Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
AZAM BAIG MD (OWNER PRESIDENT)
(410) 956-6303
Entity
Organization

Contact information

Practice address
224 MAYO RD, EDGEWATER, MD 21037-2951
(410) 956-6303
(410) 956-6637
Mailing address
224 MAYO RD, EDGEWATER, MD 21037-2951
(410) 956-6303
(410) 956-6637

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0020882
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04531
AMERIGROUP
MD
01
0453912
AETNA
MD
01
0701078005
CIGNA
MD
05
181521100
MD
01
2653A
BLUE CROSS/BLUE SHIELD
MH
01
88981
MAMSI
MD
01
C023
CAPTIAL CARE/BLUE CHOICE
MD
Enumeration date
09/14/2006
Last updated
06/18/2008
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