Organization
DRS. DIMARZIO,GORDON,JACKSON,KINZER,MILLER&VERKOUW, PA
Active
Other names
Greater Annapolis Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE A INZER (BILLING MANAGER)
(410) 573-1110
Entity
Organization
Contact information
Practice address
2003 MEDICAL PKWY, SUITE 100, ANNAPOLIS, MD 21401-7992
(410) 573-1110
(410) 266-0714
Mailing address
2003 MEDICAL PKWY, SUITE 100, ANNAPOLIS, MD 21401-7992
(410) 573-1110
(410) 266-0714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4421835
AETNA
MD
05
—
652102900
—
MD
01
—
KS82GR
BCBS OF MD
MD
01
—
S103
BCBS DC
MD
01
—
SRRGA
RAIL ROAD MEDICARE
MD
Enumeration date
04/23/2007
Last updated
05/27/2011
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