Organization
MEDEXPRESS PRIMARY CARE MARYLAND, P.C.
Active
Other names
Sephora - Belcamp
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
4622 MERCEDES DR, BELCAMP, MD 21017-1223
(410) 297-2452
(410) 297-2453
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/18/2019
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