SOUTH RIVER PRIMARY CARE LLC

EDGEWATER, MD
NPI1154548303
Entity TypeOrganization
Authorized ContactTIMOTHY PAUL FRY
Owner
410-956-7830
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  H0056281)
Enumeration Date2007-04-19
Last Update Date2009-07-29
Business Address
SOUTH RIVER PRIMARY CARE LLC
3168 BRAVERTON ST SUITE 330
EDGEWATER, MD 21037-2674
Phone number: 410-956-7830
Mailing Address
SOUTH RIVER PRIMARY CARE LLC
3168 BRAVERTON ST SUITE 330
EDGEWATER, MD 21037-2674
Phone number: 410-956-7830
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