institution
Gennesaret Medical Center, Llc
Primary Care Clinic/Center in Laurel, Maryland
NPI 1588962245

Gennesaret Medical Center, Llc is a Primary Care Clinic/Center based in Clarksville, MD and is specialized in Primary Care. Gennesaret Medical Center, Llc practices in Laurel, MD. The NPI Number for Gennesaret Medical Center, Llc is 1588962245 and holds a License No. D0059876 (Maryland).

The current practice location address for Gennesaret Medical Center, Llc is 13992 Baltimore Ave Ste 200, Laurel, MD and can be reached out via phone at 410-528-6003 and via fax at 410-528-6004. You can also correspond with Gennesaret Medical Center, Llc through the mailing address at 12108 EARLY LILACS PATH, CLARKSVILLE, MD - 21029-1676 (mailing address contact number: 410-963-5870).

Location: 13992 Baltimore Ave Ste 200, Laurel, MD, 21029-1676
institution
Provider Profile Details
NPI Number
1588962245
Provider Name
Gennesaret Medical Center, Llc
Credential
Provider Entity Type
Organization
Address
13992 Baltimore Ave Ste 200, Laurel, MD, 21029-1676
Phone Number
410-528-6003
Fax Number
410-528-6004
Provider Enumeration Date
03/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000911300 05 MD
institution
Provider Business Practice Location Address Details
Address
13992 Baltimore Ave Ste 200
City
State
Zip
20707-5010
Phone Number
410-528-6003
Fax Number
410-528-6004
person
Provider Business Mailing Address Details
Address
13992 Baltimore Ave Ste 200
City
State
Zip
20707-5010
Phone Number
410-528-6003
Fax Number
410-528-6004
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
D0059876 (Maryland)
Definition
Definition to come...
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