Healthcare Provider Details

I. General information

NPI: 1619885183
Provider Name (Legal Business Name): 1 CARE PARTNERS IN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 REISTERSTOWN RD STE 2NW
OWINGS MILLS MD
21117-4451
US

IV. Provider business mailing address

9505 REISTERSTOWN RD STE 2NW
OWINGS MILLS MD
21117-4451
US

V. Phone/Fax

Practice location:
  • Phone: 212-734-6621
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GIDEON LEISER
Title or Position: MEMBER
Credential:
Phone: 336-663-2273