Organization
MEDSTAR MEDICAL GROUP II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M MILLER M.D. (VICE PRESIDENT)
(443) 725-8719
Entity
Organization
Contact information
Practice address
1406 CRAIN HWY S, SUITE 106, GLEN BURNIE, MD 21061-4058
(410) 768-6440
(410) 760-4522
Mailing address
8094 SANDPIPER CIR, SUITE O, BALTIMORE, MD 21236-4907
(410) 933-2214
(410) 933-3077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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