DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PEGGY J KLUCINA P.A.

MEDICARE: PEGGY J KLUCINA P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantC0004615MD

General Provider Information

NPI Number : 1710262886
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY J KLUCINA P.A.
Provider Business Mailing Address
First Line : 20010 CENTURY BLVD
Second Line : SUITE 200
City : GERMANTOWN
State : MD
Zip : 20874-1115
Country : US
Telephone Number : 240-686-2300
Fax Number : 240-686-2330
Provider Business Practice Location Address
First Line : 41 MAGNA WAY STE 100
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-3073
Country : US
Telephone Number : 410-751-6684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 01/30/2021

Similar Medicare Providers

1780179093 — MELANIE FAJARDO PT, DPT
Practice Location Address:
41 MAGNA WAY
WESTMINSTER, MD
21157-3073
Practice Phone: 443-487-6614
Practice Fax:
1912275926 — DENNIS VINIAS
Practice Location Address:
41 MAGNA WAY , SUITE # 100
WESTMINSTER, MD
21157-3073
Practice Phone: 410-876-2400
Practice Fax:
1043696123 — CORE CONCEPTS PHYSICAL THERAPY AND PILATES
Practice Location Address:
41 MAGNA WAY , SUITE 140
WESTMINSTER, MD
21157-3073
Practice Phone: 443-487-6614
Practice Fax: 443-487-6613
1972978625 — LIFEBRIDGE MULTI-SPECIALTY, LLC
Practice Location Address:
41 MAGNA WAY , SUITE 100
WESTMINSTER, MD
21157-3073
Practice Phone: 410-751-6684
Practice Fax: 410-751-2371
1154931962 — LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Practice Location Address:
41 MAGNA WAY STE 140
WESTMINSTER, MD
21157-3073
Practice Phone: 717-972-1100
Practice Fax:
1245018886 — LIFEBRIDGE SPORTS MEDICINE & REHABILITATION, LLC
Practice Location Address:
41 MAGNA WAY STE 140
WESTMINSTER, MD
21157-3073
Practice Phone: 443-487-6614
Practice Fax:

Directions to “ PEGGY J KLUCINA P.A.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.