Organization · NPI-2

Arundel Medical Group INC

Family Medicine · Glen Burnie, MD

NPI number1366435596

StatusActive

Last updated in NPPESNov 20, 2023

Details

NPI: 1366435596
Entity type: Organization (NPI-2)
Legal business name: Arundel Medical Group INC
Organization subpart: No
Enumeration date: Aug 23, 2005
Certification date: Nov 20, 2023
Last updated: Nov 20, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
111N00000X	Chiropractor	–	–
207R00000X	Internal Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207RG0100X	Internal Medicine, Gastroenterology	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207V00000X	Obstetrics & Gynecology	–	–
207X00000X	Orthopaedic Surgery	–	–
208000000X	Pediatrics	–	–
208D00000X	General Practice	–	–
213E00000X	Podiatrist	–	–

Practice location

7575 Ritchie Hwy
Glen Burnie, MD 21061-3716

Phone 410-766-1444 · Fax 410-766-9453

Mailing address

7575 Ritchie Hwy
Glen Burnie, MD 21061-3716

Phone 410-766-1444 · Fax 410-766-9453

Authorized official

Stephan Robert Izzi
Medical Doctor
4107661444

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