NPI 1669604930

Medstar Family Choice, INC

Organisation Exclusive Provider Organization Baltimore, MD

Practice location

Address: 8094 Sandpiper Cir Suite O, Baltimore, MD 21236-4907
Phone: (410) 933-3014
Fax: (410) 933-3019

Authorised official

Name: Lesley Wallace
Title: Director of Operations
Phone: (410) 933-3013

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1669604930
Entity type: Organization
NPI issued: 19 Aug 2009
Record last updated: 19 Aug 2009

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.