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Organization

CALVERTHEALTH MEDICAL GROUP, LLC

Active
Parent organization
CALVERT HEALTH SYSTEM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALVERT HEALTH SYSTEM, INC.
Authorized official
CAROLYN HEITHAUS (CFO)
(410) 535-8236
Entity
Organization

Contact information

Practice address
110 HOSPITAL RD STE 204, PRINCE FREDERICK, MD 20678-4045
(410) 414-4740
(410) 414-4741
Mailing address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 414-4791
(410) 535-8417

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
07/10/2024
Last updated
07/10/2024
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