Organization
DELMARVA CAPITAL, LLC
Active
Other names
Atlantic Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD COHEN (OWNER, DIRECTOR)
(410) 469-9837
Entity
Organization
Contact information
Practice address
5717 FALLS RD, BALTIMORE, MD 21209
(410) 469-9837
(443) 288-4036
Mailing address
5717 FALLS RD, BALTIMORE, MD 21209-3707
(410) 469-9837
(443) 288-4036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DZ1680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272901600
—
MD
Enumeration date
06/18/2018
Last updated
07/30/2018
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