Organization
CROSSROADS MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL I BENESH M.D. (PRESIDENT)
(410) 998-9955
Entity
Organization
Contact information
Practice address
2700 QUARRY LAKE DRIVE, SUITE 350, BALITMORE, MD 21209-0000
(410) 998-9955
(410) 998-9961
Mailing address
2700 QUARRY LAKE DRIVE, SUITE 350, BALTIMORE, MD 21209-0000
(410) 998-9955
(410) 998-9961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MD
Other
Enumeration date
04/10/2006
Last updated
01/07/2011
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