Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
THE COMPREHENSIVE GYNECOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L CLARKE (VICE PRESIDENT)
(443) 481-1000
Entity
Organization
Contact information
Practice address
2401 BRANDERMILL BLVD, SUITE 200, GAMBRILLS, MD 21054-1690
(410) 451-0076
Mailing address
PO BOX 62283, BALTIMORE, MD 21264-0001
(443) 481-6520
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175111
—
MD
Enumeration date
03/05/2007
Last updated
05/24/2021
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