126th Street Medical
126th Street Medical is a Family Medicine Physician in Ocean City, Maryland. Licensed in Maryland. Registered with an NPI since 2005.
- Licensed in
- MD
- In the registry since
- 2005
Practice location Address checks out
12601 D Coastal HwyOcean City, MD 21842-9784
Phone: (410) 250-8000
Fax: (410) 250-1308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D0032615 (MD) |
|---|
Record details
| NPI number | 1316949787 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Victor Gong — Medical Officer · (410) 250-8000 |
| NPI enumerated | August 15, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12601 D Coastal Highway, Ocean City, MD 21842-9784 |
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