PREMIER PHYSICIAN GROUP, LLC

BETHESDA, MD
NPI1801064704
Entity TypeOrganization
Authorized ContactMATTHEW G POFFENROTH
President / CEO
301-896-6900
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Additional Taxonomies207R00000X Internal Medicine
207Y00000X Otolaryngology
208C00000X Colon & Rectal Surgery
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
208M00000X Hospitalist
363A00000X Physician Assistant
363L00000X Nurse Practitioner
231H00000X Audiologist
Enumeration Date2008-02-13
Last Update Date2008-11-13
Business Address
PREMIER PHYSICIAN GROUP, LLC
6430 ROCKLEDGE DRIVE SUITE 470
BETHESDA, MD 20817
Phone number: 301-896-6931
Mailing Address
PREMIER PHYSICIAN GROUP, LLC
PO BOX 791372
BALTIMORE, MD 21279-1372
Phone number: 301-896-6931