Organization
DRS BIONDO & SIM PA
Active
Other names
UNION MEDICAL CLINIC PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA M GALLION (OFFICE MANAGER)
(410) 939-4477
Entity
Organization
Contact information
Practice address
251 LEWIS LANE, SUITE 201, HAVRE DE GRACE, MD 21078-3753
(410) 939-4477
(410) 939-1153
Mailing address
251 LEWIS LN, SUITE 201, HAVRE DE GRACE, MD 21078-3751
(410) 939-4477
(410) 939-1153
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000424675
BS OF PA
PA
01
—
145388000
WORKMENS COMPENSATION DEPARTMENT OF LABOR
MD
05
—
148241600
—
MD
05
—
348561700
—
MD
05
—
408544200
—
MD
05
—
982961000
—
MD
01
—
K781UN
BLUE SHIELD OF MARYLAND
MD
01
—
W724001
BLUE SHIELD DC
DC
01
—
W724001
DELMARVA HEALTH PLAN
MD
Enumeration date
10/25/2007
Last updated
03/13/2009
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