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MARYLAND PHYSICAL THERAPY GROUP INC. TA MID-TOWNE MEDICAL GROUP INC. NPI 1497967327


NPI Information

NPI: 1497967327
Provider Name: MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC.

Doing Business As: MID-TOWNE MEDICAL GROUP, INC.

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
11 E MOUNT ROYAL AVE
THE TOWNE BLDG LOWER LEVEL
BALTIMORE, MD
ZIP 21202
Phone: (410) 347-3000
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MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC. is a health service clinic center in Baltimore, MD. MARYLAND PHYSICAL THERAPY GROUP, INC. TA MID-TOWNE MEDICAL GROUP, INC. NPI is 1497967327. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid-towne Medical Group, Inc..

The provider's business location address is:

11 E MOUNT ROYAL AVE
THE TOWNE BLDG LOWER LEVEL
BALTIMORE, MD
ZIP 21202-714
Phone: (410) 347-3000
Fax: (410) 539-3676

The provider's authorized official is M. Susan Matthewson .
The authorized official title is Coordinator and has the following contact phone number (410) 347-3000.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 7/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceD0006489MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LS50MIMEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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