| Professional Physician Services Llc | |
|
7845 Oakwood Rd Suite 100 Glen Burnie MD 21061-4280 | |
| (410) 760-1010 | |
| (410) 787-1056 |
| Full Name | Professional Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7845 Oakwood Rd, Glen Burnie, Maryland |
| Authorized Official Name and Position | Jude Cabatingan Muneses (PRESIDENT) |
| Authorized Official Contact | 4107601010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Physician Services Llc 7845 Oakwood Rd Suite 100 Glen Burnie MD 21061-4280 Ph: (410) 760-1010 | Professional Physician Services Llc 7845 Oakwood Rd Suite 100 Glen Burnie MD 21061-4280 Ph: (410) 760-1010 |
| NPI Number | 1114935939 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114935939 | NPI | - | NPPES |
| LZ85PR | Other | MD | BLUE SHIELD OF MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Maryland) | Primary |
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