Organization Name: | MEDICAL HEALTH GROUP INC |
NPI Number: | 1780654814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH L WOLCOTT (PRACTICE ADMINISTRATOR) |
Mailing Address: | 3445 E Box Hill Corporate Center Dr Abingdon |
State: | MD US |
Postal Code: | 210091223 |
Phone Number: | 4105693800 |
Fax Number: | 4105152418 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |