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Organization

LUMINIS HEALTH MEDICAL GROUP, LLC

Active
Other names
OBGYN MEDICAL RESOURCES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN CLARKE (VICE PRESIDENT OF BUSINESS DEVEL.)
(443) 481-1000
Entity
Organization

Contact information

Practice address
4000 MITCHELLVILLE RD, SUITE 208, BOWIE, MD 20716-3104
(410) 266-8663
(410) 268-6000
Mailing address
PO BOX 64401, BALTIMORE, MD 21264-4935
(443) 348-1652
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
07/20/2007
Last updated
05/24/2021
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