126TH STREET MEDICAL
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1316949787- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12601 D COASTAL HIGHWAY, OCEAN CITY, MD, 218429784
- Phone
- (410) 250-8000
- Fax
- (410) 250-1308
Specialties & Taxonomies
Family Medicine
Primary License: MD #D0032615