| Organization Name: | ANNE ARUNDEL PHYSICIAN GROUP LLC |
| NPI Number: | 1508995697 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN L CLARKE (VICE PRESIDENT) |
| Mailing Address: | 2401 Brandermill Blvd Suite 200 Gambrills |
| State: | MD US |
| Postal Code: | 210541690 |
| Phone Number: | 4104510076 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 03/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |