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

Blackwater Medical Associates, LLC

Organization Family Medicine Physician · NPI 1508986092

Blackwater Medical Associates, LLC is a Family Medicine Physician in Cambridge, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

408 Byrn St
Cambridge, MD 21613-1910
Phone: (410) 228-1068
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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 D0050804 (MD)

Record details

NPI number1508986092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Malkus — President · (410) 228-1068
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address408 Byrn St, Cambridge, MD 21613-1910

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