Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Annapolis Thoracic Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
1630 MAIN ST, SUITE 213, CHESTER, MD 21619-2791
(443) 481-3300
(443) 481-3315
Mailing address
PO BOX 412752, BOSTON, MA 02241-4017
(443) 481-6538
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
02/22/2023
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