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Organization

Genesis Eldercare Physician Services Llc

Internal Medicine Physician in Salisbury, MD(View on Map)

Legal Business Name

Genesis Eldercare Physician Services Llc

NPI Number

1609180926

NPI Type

Organization

Enumeration Date

07/28/2010

Specialties

(Taxonomies)

Name

Internal Medicine Physician
Family Medicine Physician
Family Nurse Practitioner

Code

207R00000X
207Q00000X
363LF0000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 62946
6508 DEER POINTE DR STE A

City

Baltimore
Salisbury

State

MD
MD

Postal Code

21264-2946
21804

Country

US
US

Telephone Number

(410) 494-7607
(410) 543-1957

Authorized Official

Name

Eric Shapiro

Title or Position

VP, AREA CONTROLLER

Telephone Number

(410) 832-7790

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/05/2019

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