Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Parent organization
ANNE ARUNDEL PHYSICIAN GROUP LLC
Other names
ANNAPOLIS CENTER FOR INTEGRATIVE MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL PHYSICIAN GROUP LLC
Authorized official
MR. STEPHEN CLARKE (VICE PRESIDENT)
(443) 481-1000
Entity
Organization
Contact information
Practice address
2009 TIDEWATER COLONY, SUITE 2A, ANNAPOLIS, MD 21401
(410) 224-0010
(410) 224-0012
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6483
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0018529
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407175109
—
MD
01
—
953BAN
BCBS
MD
01
—
K640
BCBS
DC
Enumeration date
07/18/2006
Last updated
05/24/2021
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