| Organization Name: | THE PHYSICIANS GROUP, CHARTERED |
| NPI Number: | 1851387641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL A PIMENTEL (TREASURER) |
| Mailing Address: | 601 Post Office Rd Suite 1a Waldorf |
| State: | MD US |
| Postal Code: | 206021912 |
| Phone Number: | 3016380186 |
| Fax Number: | 3018436857 |
| NPI Enumeration Date: | 09/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D04258018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |