126th Street Medical

NPI 1316949787 - Family Medicine - 207Q00000X

NPI Details
NPI 1316949787
Enumeration Date 08/15/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name VICTOR VICTOR
Position MEDICAL OFFICER
Phone (410) 250-8000
Fax (410) 250-1308
Practice Location
12601 D COASTAL HIGHWAY
OCEAN CITY MD, 21842-9784, US
Phone (410) 250-8000
Fax (410) 250-1308
Business Location
12601 D COASTAL HIGHWAY
OCEAN CITY MD, 21842-9784, US
Phone (410) 250-8000
Fax (410) 250-1308
Toxanomy
Taxonomy Code 207Q00000X
License State Maryland
License Number D0032615
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According to our database, 126th Street Medical NPI is 1316949787, taxonomy code is 207Q00000X and license number is D0032615, license state is located at Maryland. 126th Street Medical physically located at 12601 D Coastal Highway, Ocean City MD, 21842-9784. NPI Number 1033115704 has the healthcare provider type.

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1316949787 NPI number is provided on an as is basis without warranty of any kind. 1316949787 is maintained by the National Plan & Provider Enumeration System. The contents of 126th Street Medical are for informational purposes only.