Organization
PHYSICIAN GROUP-WESTERN MARYLAND CENTER CCU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA M. PELLEGRINO (DIRECTOR/CEO)
(301) 791-4400
Entity
Organization
Contact information
Practice address
1500 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3112
(301) 791-4400
(301) 791-4435
Mailing address
1500 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3112
(301) 791-4400
(301) 791-4435
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
21020
MD
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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