| NPI | 1932186764 |
|---|---|
| Doing Business As | CALVERT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE LINCOLN Billing Administrator 410-814-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0058860) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S01595) |
| 363A00000X Physician Assistant (Licence: MD C0004180) | |
| 363L00000X Nurse Practitioner (Licence: MD R123281) | |
| 363A00000X Physician Assistant (Licence: MD C0000420) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-08-10 |