Organization
MARYLAND PHYSICIANS EDGE LLC
Active
Other names
Susquehanna OB/GYN and Nurse Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY M MORAN (PRACTICE MANAGER)
(301) 681-6772
Entity
Organization
Contact information
Practice address
308 N UNION AVE, HAVRE DE GRACE, MD 21078-2825
(410) 939-3121
Mailing address
PO BOX 14079, BELFAST, ME 04915-4031
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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