Organization
ARUNDEL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN ROBERT IZZI MD (MEDICAL DOCTOR)
(410) 766-1444
Entity
Organization
Contact information
Practice address
7575 RITCHIE HWY, GLEN BURNIE, MD 21061-3716
(410) 766-1444
(410) 766-9453
Mailing address
7575 RITCHIE HWY, GLEN BURNIE, MD 21061-3716
(410) 766-1444
(410) 766-9453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
775571600
—
MD
01
—
A550AR
BSMD
MD
01
—
W180
BSDC
DC
Enumeration date
08/23/2005
Last updated
11/20/2023
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