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

Centennial Medical Group, PA

Organization General Practice Physician · NPI 1306477849

Centennial Medical Group, PA is a General Practice Physician in Gambrills, Maryland. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1071 Md Rt 3 N Ste 101
Gambrills, MD 21054-1784
Phone: (410) 721-2333
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1306477849
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCentennial Medical Group
Authorized official Ron Elfenbein — Medical Director · (410) 721-2333
Other names Centennial Medical Group
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020
Mailing address5005 Signal Bell Ln Ste 200, Clarksville, MD 21029-2608

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