Trident Medical Group Pa | |
10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 | |
(855) 770-7771 | |
(415) 808-6405 |
Full Name | Trident Medical Group Pa |
---|---|
Speciality | Internal Medicine |
Location | 10440 Little Patuxent Pkwy Ste 300, Columbia, Maryland |
Authorized Official Name and Position | Devion Smith (DIRECTOR, PAYER CONTRACTING) |
Authorized Official Contact | 4243268711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trident Medical Group Pa 382 Ne 191st St Miami FL 33179-3899 Ph: (310) 626-0149 | Trident Medical Group Pa 10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648 Ph: (855) 770-7771 |
NPI Number | 1083368831 |
---|---|
Provider Enumeration Date | 02/10/2022 |
Last Update Date | 11/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083368831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
213EP0504X | Podiatrist - Public Medicine | (* (Not Available)) | Secondary |
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Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
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