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Blackwater Medical Associates, Llc
Specialist in Cambridge, Maryland
NPI 1063722171

Blackwater Medical Associates, Llc is a Specialist based in Cambridge, MD. Blackwater Medical Associates, Llc practices in Cambridge, MD. The NPI Number for Blackwater Medical Associates, Llc is 1063722171 and holds a License No. D0080504 (Maryland).

The current practice location address for Blackwater Medical Associates, Llc is 408 Byrn St, Cambridge, MD and can be reached out via phone at 410-228-1068 and via fax at 410-228-6338.

Location: 408 Byrn St, Cambridge, MD, 21613-1910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063722171
Provider Name
Blackwater Medical Associates, Llc
Credential
Provider Entity Type
Organization
Address
408 Byrn St, Cambridge, MD, 21613-1910
Phone Number
410-228-1068
Fax Number
410-228-6338
Provider Enumeration Date
10/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
781000800 05 MD
institution
Provider Business Practice Location Address Details
Address
408 Byrn St
City
Cambridge
State
Maryland
Zip
21613-1910
Phone Number
410-228-1068
Fax Number
410-228-6338
person
Provider Business Mailing Address Details
Address
408 Byrn St
City
Cambridge
State
Maryland
Zip
21613-1910
Phone Number
410-228-1068
Fax Number
410-228-6338
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0080504 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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