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1316949787
126TH STREET MEDICAL
OCEAN CITY, MD
NPI
1316949787
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Entity Type
Organization
Authorized Contact
VICTOR GONG
Medical Officer
410-250-8000
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D0032615)
Enumeration Date
2005-08-15
Last Update Date
2020-08-22
Business Address
126TH STREET MEDICAL
12601 D COASTAL HIGHWAY
OCEAN CITY, MD 21842-9784
Phone number: 410-250-8000
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Mailing Address
126TH STREET MEDICAL
12601 D COASTAL HIGHWAY
OCEAN CITY, MD 21842-9784
Phone number: 410-250-8000
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