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

Upper Crossroads Medical Group

Organization General Practice Physician · NPI 1104290261

Upper Crossroads Medical Group is a General Practice Physician in Fallston, Maryland. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2412 Baldwin Mill Rd
Fallston, MD 21047
Phone: (410) 557-9191
Fax: (410) 557-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1104290261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Salvacion Lazatin — Physician/Partner · (410) 557-9191
NPI enumeratedNovember 30, 2015
Last updated in NPPESNovember 30, 2015
Mailing address2412 Baldwin Mill Rd, Fallston, MD 21047

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