Organization
J O MEADOWS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN O MEADOWS MD (OWNER PHYSICIAN)
(410) 543-0600
Entity
Organization
Contact information
Practice address
560 RIVERSIDE DRIVE, STE B202, SALISBURY, MD 21801
(410) 543-0600
(410) 543-9480
Mailing address
560 RIVERSIDE DRIVE, STE B202, SALISBURY, MD 21801
(410) 543-0600
(410) 543-9480
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D19822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000051301
DEL MEDICAID
DE
01
—
319987
MAMSI UHC
MD
01
—
4356826
CIGNA
MD
01
—
5932JO
BLUE SHIELD
MD
01
—
6067310
VA MEDICAID
VA
01
—
733205
NCPPO
—
01
—
S343
FED BCBS & BLUECHOICE
MD
Enumeration date
05/04/2006
Last updated
04/10/2008
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