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NPI Code Detail

MEDICARE: MARYLAND PRIMARY CARE PHYSICIANS, LLC

MEDICARE: MARYLAND PRIMARY CARE PHYSICIANS, LLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1831911874
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARYLAND PRIMARY CARE PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 7580 BUCKINGHAM BLVD STE 220
Second Line :
City : HANOVER
State : MD
Zip : 21076-3210
Country : US
Telephone Number : 410-729-5100
Fax Number :
Provider Business Practice Location Address
First Line : 24 MAGOTHY BEACH RD STE A
Second Line :
City : PASADENA
State : MD
Zip : 21122-4414
Country : US
Telephone Number : 410-255-2700
Fax Number : 410-437-1962
Authorized Official
Title or Position : PRESIDENT
Name : MICHELLE Y PRICE
Credential : MD
Telephone Number : 410-729-5100
Provider Enumeration Date : 10/30/2024
Last Update Date : 06/19/2026

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Directions to “MARYLAND PRIMARY CARE PHYSICIANS, LLC ” Practice Location

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