LAKE SHORE PHYSICIAN PA

PASADENA, MD
NPI1003823717
Entity TypeOrganization
Authorized ContactCARL THOMAS FOLKEMER
President
410-437-3200
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MD  D14751)
Enumeration Date2006-08-02
Last Update Date2020-08-22
Business Address
LAKE SHORE PHYSICIAN PA
4231 POSTAL COURT
PASADENA, MD 21122
Phone number: 410-432-3200
Mailing Address
LAKE SHORE PHYSICIAN PA
4231 POSTAL COURT
PASADENA, MD 21122
Phone number: 410-432-3200