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NPI Code Detail

MEDICARE: M MEDICAL GROUP, INC.

MEDICARE: M MEDICAL GROUP, INC.
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1780056168
Entity Type Code : Organization
Provider Name (Legal Business Name) : M MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 6 E EAGER ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21202-2506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9106 PINE VIEW LN
Second Line :
City : CLINTON
State : MD
Zip : 20735-3229
Country : US
Telephone Number : 301-856-2930
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. GERARD MOAWAD
Credential :
Telephone Number : 202-731-1638
Provider Enumeration Date : 10/26/2015
Last Update Date : 10/23/2025

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