Organization
STATCARE GROUP III, PC
Active
Other names
ChoiceOne Urgent Care III
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT T BURGER D.O. (CHIEF MEDICAL OFFICER)
(410) 296-7190
Entity
Organization
Contact information
Practice address
28522-C MARLBORO AVENUE, EASTON, MD 21601
(443) 746-0086
(443) 746-0669
Mailing address
1400 FRONT AVE, SUITE 300, LUTHERVILLE, MD 21093-5300
(410) 296-7190
(443) 991-7768
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
H0062737
MD
261QU0200X
Urgent Care Clinic/Center
Primary
H0062737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0062737
LICENSE NUMBER
MD
Enumeration date
06/08/2016
Last updated
06/16/2017
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