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Medical Legacy Llc
Primary Care Clinic/Center in Randallstown, Maryland
NPI 1114189453

Medical Legacy Llc is a Primary Care Clinic/Center based in Randallstown, MD and is specialized in Primary Care. Medical Legacy Llc practices in Randallstown, MD. The NPI Number for Medical Legacy Llc is 1114189453 and holds a License No. D0023724 (Maryland).

The current practice location address for Medical Legacy Llc is 5310 Old Court Rd, Randallstown, MD and can be reached out via phone at 410-655-7100 and via fax at 410-655-7917.

Location: 5310 Old Court Rd, Randallstown, MD, 21133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114189453
Provider Name
Medical Legacy Llc
Credential
Provider Entity Type
Organization
Address
5310 Old Court Rd, Randallstown, MD, 21133
Phone Number
410-655-7100
Fax Number
410-655-7917
Provider Enumeration Date
06/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255951000 05 MD
institution
Provider Business Practice Location Address Details
Address
5310 Old Court Rd
City
Randallstown
State
Maryland
Zip
21133-5243
Phone Number
410-655-7100
Fax Number
410-655-7917
person
Provider Business Mailing Address Details
Address
5310 Old Court Rd
City
Randallstown
State
Maryland
Zip
21133-5243
Phone Number
410-655-7100
Fax Number
410-655-7917
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
D0023724 (Maryland)
Definition
Definition to come...
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