Organization
MDICS REHABILITATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM DELBRUGGE (CFO)
(301) 693-8707
Entity
Organization
Contact information
Practice address
6934 AVIATION BLVD, SUITE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825
Mailing address
PO BOX 69231, BALTIMORE, MD 21264-9231
(443) 949-0814
(443) 949-0825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
01/12/2024
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