Organization
STATCARE GROUP III, PC
Active
Other names
ChoiceOne Urgent Care III
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT T BURGER D.O. (CHIEF MEDICAL OFFICER)
(410) 296-7190
Entity
Organization
Contact information
Practice address
8 DENTON PLAZA, DENTON, MD 21629-9501
(443) 606-2300
(443) 606-2305
Mailing address
1400 FRONT AVENUE, SUITE 300, LUTHERVILLE, MD 21093
(410) 296-7190
(443) 991-7768
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
MD
261QU0200X
Urgent Care Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0062737
LICENSE NUMBER
MD
Enumeration date
12/30/2015
Last updated
07/07/2020
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