Organization
MONOCACY HEALTH PARTNERS LLC
Active
Parent organization
MONOCACY HEALTH PARTNERS LLC
Other names
Union Bridge Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONOCACY HEALTH PARTNERS LLC
Authorized official
MICHELLE K MAHAN (SR VP AND CFO)
(240) 566-3355
Entity
Organization
Contact information
Practice address
104 N MAIN ST, UNION BRIDGE, MD 21791-9102
(410) 775-2622
(410) 775-2050
Mailing address
PO BOX 1110, UNION BRIDGE, MD 21791-1110
(410) 775-2622
(410) 775-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
07/02/2013
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