| Organization Name: | MARYLAND PRIMARY CARE PHYSICIANS, LLC |
| NPI Number: | 1083667067 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL S. RIEBMAN (PRESIDENT) |
| Mailing Address: | 1111 Benfield Blvd Suite 200 Millersville |
| State: | MD US |
| Postal Code: | 211083002 |
| Phone Number: | 4107295100 |
| Fax Number: | 4107295156 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |