NPI 1477399509

Calverthealth Medical Group, LLC

Organisation Family Medicine Physician Prince Frederick, MD

Practice location

Address: 110 Hospital Rd STE 110, Prince Frederick, MD 20678-4039
Phone: (410) 535-4488
Fax: (443) 771-8114
Mailing address: 100 Hospital Rd, Prince Frederick, MD 20678-4017

Authorised official

Name: Carolyn Heithaus
Title: Cfo
Phone: (410) 535-8236

Registered specialties (5)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Maryland →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

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Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1477399509
Entity type: Organization
NPI issued: 8 Jul 2024
Record last updated: 8 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.