Organization
BLACKWATER MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M MALKUS M.D. (PRESIDENT)
(410) 228-1068
Entity
Organization
Contact information
Practice address
408 BYRN ST, CAMBRIDGE, MD 21613-1910
(410) 228-1068
Mailing address
408 BYRN ST, CAMBRIDGE, MD 21613-1910
(410) 228-1068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0050804
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7810000800
—
MD
Enumeration date
03/30/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us