Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
AAMG Chesapeake Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L CLARKE (VICE PRESIDENT)
(443) 481-6476
Entity
Organization
Contact information
Practice address
401 PURDY ST, SUITE 102, EASTON, MD 21601-4060
(410) 820-0039
(410) 820-0039
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6476
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D76431
MD
367A00000X
Advanced Practice Midwife
R217803
MD
Other
Enumeration date
10/14/2015
Last updated
05/24/2021
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