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Braddock Medical Group P.a.
Primary Care Clinic/Center in Cumberland, Maryland
NPI 1710980081

Braddock Medical Group P.a. is a Primary Care Clinic/Center based in Cumberland, MD and is specialized in Primary Care. Braddock Medical Group P.a. practices in Cumberland, MD. The NPI Number for Braddock Medical Group P.a. is 1710980081 and holds a License No. (Maryland).

The current practice location address for Braddock Medical Group P.a. is 912 Seton Dr, Cumberland, MD and can be reached out via phone at 301-722-3111 and via fax at 301-722-5135.

Location: 912 Seton Dr, Cumberland, MD, 21502-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710980081
Provider Name
Braddock Medical Group P.a.
Credential
Provider Entity Type
Organization
Address
912 Seton Dr, Cumberland, MD, 21502-1818
Phone Number
301-722-3111
Fax Number
301-722-5135
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00874296 05 PA
910291400 05 MD
6216720003 01 CIGNA
H529 01 MEDICARE GROUP ID
0011509000 05 WV
institution
Provider Business Practice Location Address Details
Address
912 Seton Dr
City
Cumberland
State
Maryland
Zip
21502-1818
Phone Number
301-722-3111
Fax Number
301-722-5135
person
Provider Business Mailing Address Details
Address
912 Seton Dr
City
Cumberland
State
Maryland
Zip
21502-1818
Phone Number
301-722-3111
Fax Number
301-722-5135
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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