Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
AAMG Chesapeake Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (REIMBURSEMENT ADMINISTRATOR)
(443) 481-6415
Entity
Organization
Contact information
Practice address
100 BRAMBLE ST STE E&F, CAMBRIDGE, MD 21613-2471
(410) 820-0038
(410) 820-0039
Mailing address
201 DEFENSE HWY STE 150, ANNAPOLIS, MD 21401-8953
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
05/24/2021
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