Organization
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHAPIRO (VICE PRESIDENT)
(410) 832-7790
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, TOWSON, MD 21286
(410) 832-7790
Mailing address
PO BOX 62946, BALTIMORE, MD 21264-2946
(410) 494-7607
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/14/2017
Last updated
08/05/2019
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