Chestertown Family Medicine Pa

NPI 1073630158 - Family Medicine - 207Q00000X

NPI Details
NPI 1073630158
Enumeration Date 03/23/2007
Last Updated 09/21/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WAYNE D WAYNE
Position PRESIDENT
Phone (410) 778-0300
Fax (410) 778-0351
Practice Location
6602 CHURCH HILL RD
SUITE 200
CHESTERTOWN MD, 21620-2310, US
Phone (410) 778-0300
Fax (410) 778-0351
Business Location
6602 CHURCH HILL RD
SUITE 200
CHESTERTOWN MD, 21620-2310, US
Phone (410) 778-0300
Fax (410) 778-0351
Toxanomy
Taxonomy Code 207Q00000X
License State Maryland
License Number D16488
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According to our database, Chestertown Family Medicine Pa NPI is 1073630158, taxonomy code is 207Q00000X and license number is D16488, license state is located at Maryland. Chestertown Family Medicine Pa physically located at 6602 Church Hill Rd, Chestertown MD, 21620-2310. NPI Number 1033115704 has the healthcare provider type.

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1073630158 NPI number is provided on an as is basis without warranty of any kind. 1073630158 is maintained by the National Plan & Provider Enumeration System. The contents of Chestertown Family Medicine Pa are for informational purposes only.