126TH STREET MEDICAL

OCEAN CITY, MD
NPI1316949787
Entity TypeOrganization
Authorized ContactVICTOR GONG
Medical Officer
410-250-8000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D0032615)
Enumeration Date2005-08-15
Last Update Date2020-08-22
Business Address
126TH STREET MEDICAL
12601 D COASTAL HIGHWAY
OCEAN CITY, MD 21842-9784
Phone number: 410-250-8000
Mailing Address
126TH STREET MEDICAL
12601 D COASTAL HIGHWAY
OCEAN CITY, MD 21842-9784
Phone number: 410-250-8000