Organization
THE PHYSICIANS GROUP CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY PIMENTEL DO (TREASURER)
(301) 638-0186
Entity
Organization
Contact information
Practice address
601 POST OFFICE RD, SUITE 1-A, WALDORF, MD 20602-1912
(301) 638-0186
(301) 843-6857
Mailing address
601 POST OFFICE RD, SUITE 1-A, WALDORF, MD 20602-1912
(301) 638-0186
(301) 843-6857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0038147
MD
207R00000X
Internal Medicine Physician
H0042445
MD
208000000X
Pediatrics Physician
H0048020
MD
208D00000X
General Practice Physician
Primary
H0042445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203631200
—
MD
Enumeration date
10/05/2006
Last updated
03/22/2011
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