Organization
AMERIGROUP MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MICHAEL ANCONA (PRESIDENT AND CEO)
(410) 981-4001
Entity
Organization
Contact information
Practice address
7550 TEAGUE RD, SUITE 500, HANOVER, MD 21076-1339
(410) 859-5800
(410) 981-4010
Mailing address
7550 TEAGUE RD, SUITE 500, HANOVER, MD 21076-1339
(410) 859-5800
(410) 981-4010
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510300299
—
MD
Enumeration date
12/01/2005
Last updated
07/28/2009
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