Organization
CENTENNIAL MEDICAL GROUP, PA
Active
Parent organization
CENTENNIAL MEDICAL GROUP, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTENNIAL MEDICAL GROUP, PA
Authorized official
DR. RAJIV DUA MD (MEDICAL DIRECTOR)
(410) 730-3399
Entity
Organization
Contact information
Practice address
6742 DORSEY RD, ELKRIDGE, MD 21075-6205
(443) 698-8664
(443) 338-8860
Mailing address
8186 LARK BROWN RD, ELKRIDGE, MD 21075-6433
(410) 730-3399
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/18/2024
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