South River Internal Medicine, PA
South River Internal Medicine, PA is an Internal Medicine Physician in Edgewater, Maryland. Licensed in Maryland. Registered with an NPI since 2008.
- Licensed in
- MD
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3168 Braverton St Ste 250Edgewater, MD 21037-2682
Phone: (410) 956-1600
Fax: (410) 956-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D58166 (MD) |
|---|
Record details
| NPI number | 1710131024 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renee Nye — Ama/Front Office Manager · (410) 956-1600 |
| NPI enumerated | November 13, 2008 |
| Last updated in NPPES | September 2, 2024 |
| Certification date | September 2, 2024 |
| Mailing address | 3168 Braverton St, Suite 250, Edgewater, MD 21037-2674 |
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