Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackwater Medical Associates, LLC

Organization Specialist · NPI 1063722171

Blackwater Medical Associates, LLC is a Specialist in Cambridge, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

408 Byrn St
Cambridge, MD 21613-1910
Phone: (410) 228-1068
Fax: (410) 228-6338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0080504 (MD)

Record details

NPI number1063722171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Malkus — President · (410) 228-1068
NPI enumeratedOctober 8, 2010
Last updated in NPPESOctober 8, 2010
Mailing address408 Byrn St, Cambridge, MD 21613-1910

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