Organization
FAMILY MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ELLIOTT (OPERATIONAL MANAGER)
(410) 876-9785
Entity
Organization
Contact information
Practice address
708C LISBON CENTER DR, WOODBINE, MD 21797-8600
(410) 795-7221
(410) 795-8920
Mailing address
332 140 VILLAGE RD, #167, WESTMINSTER, MD 21157-6196
(410) 876-9785
(410) 871-1988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R069707
MD
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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