Organization
SUSQUEHANNA MEDICAL ASSOCIATES, LLP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT A GIMINARO DO (PHYSICIAN/OWNER)
(410) 569-4144
Entity
Organization
Contact information
Practice address
2012 S TOLLGATE RD, 111, BEL AIR, MD 21015-5900
(410) 569-4144
(410) 569-4147
Mailing address
2012 S TOLLGATE RD, 111, BEL AIR, MD 21015-5900
(410) 569-4144
(410) 569-4147
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
H0054439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000241100
—
MD
Enumeration date
10/19/2007
Last updated
11/05/2010
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