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

Crofton Medical Group, LLC

Organization Internal Medicine Physician · NPI 1457308090

Crofton Medical Group, LLC is an Internal Medicine Physician in Crofton, Maryland. Registered with an NPI since 2006.

In the registry since
2006
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

1667 Crofton Ctr Ste 5
Crofton, MD 21114-1389
Phone: (410) 721-2700
Fax: (410) 721-8874
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1457308090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mirza Nusairee — Physician · (410) 721-2700
NPI enumeratedMay 28, 2006
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address1667 Crofton Ctr Ste 5, Crofton, MD 21114-1389

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