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Organization

GENESIS ELDER CARE PHYSICIAN SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC SHAPIRO (VP, AREA CONTROLLER)
(410) 832-7790
Entity
Organization

Contact information

Practice address
6508 DEER POINTE DR, SUITE A, SALISBURY, MD 21804-1668
(410) 543-1957
(410) 543-8492
Mailing address
PO BOX 42738, TOWSON, MD 21284-2738
(410) 494-7607
(610) 925-7387

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
207RP1001X
Pulmonary Disease Physician

Other

Enumeration date
12/09/2008
Last updated
04/13/2018
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