Organization
CALVERTHEALTH MEDICAL GROUP, LLC
Active
Other names
CalvertHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HEITHAUS (CFO)
(410) 535-8236
Entity
Organization
Contact information
Practice address
110 HOSPITAL RD STE 110, PRINCE FREDERICK, MD 20678-4039
(410) 535-4488
(443) 771-8114
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 535-8417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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