Organization
DUNDALK MEDICAL GROUP LLC
Active
Other names
Dundalk Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK SETH MD (OWNER)
(410) 284-1004
Entity
Organization
Contact information
Practice address
207 WISE AVENUE, DUNDALK, MD 21222-4911
(410) 284-1004
(410) 284-2109
Mailing address
207 WISE AVENUE, DUNDALK, MD 21222-4911
(410) 284-1004
(410) 284-2109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
666885200
—
MD
Enumeration date
12/04/2019
Last updated
04/02/2022
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