Organization
CALVERT HEALTH VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT K INTNER (DIRECTOR OF PHYSICIAN PRACTICE DEVE)
(410) 414-2709
Entity
Organization
Contact information
Practice address
110 HOSPITAL RD, PRINCE FREDERICK, MD 20678
(410) 414-4791
(410) 414-4727
Mailing address
PO BOX 630167, BALTIMORE, MD 21263
(410) 414-4791
(410) 414-4727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4006216
—
MD
Enumeration date
07/14/2006
Last updated
06/24/2008
Update your record
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