MEDICARE: INTERNAL MEDICINE ASSOCIATES 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1245306323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	122 SPEER RD
Second Line	:	SUITE 5
City	:	CHESTERTOWN
State	:	MD
Zip	:	21620-1033
Country	:	US
Telephone Number	:	410-778-0200
Fax Number	:	410-778-6647

Provider Business Practice Location Address
First Line	:	122 SPEER RD
Second Line	:	SUITE 5
City	:	CHESTERTOWN
State	:	MD
Zip	:	21620-1033
Country	:	US
Telephone Number	:	410-778-0200
Fax Number	:	410-778-6647

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. HELEN ANDREWS NOBLE
Credential	:	M.D.
Telephone Number	:	410-778-0200

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/22/2020

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