126Th Street Medical

LBN: 126Th Street Medical
126Th Street Medical is an health care organization with primary practice located at 12601 D Coastal Highway , Ocean City MD 21842-9784. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. 126Th Street Medical can be contacted via phone (410) 250-8000, or through Gong, Victor via phone (410) 250-8000.

Contact Information

Primary practice address
12601 D Coastal Highway Ocean City MD 21842-9784
Phone: (410) 250-8000
Fax: (410) 250-1308
Website:
Map and Directions
Authorized official contact:
Name: Gong, Victor Doctor of Medicine (MD)
Phone: (410) 250-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0032615 Maryland

Profile Details

NPI number 1316949787
LBN Legal business name 126Th Street Medical
DBA Doing business as
Authorized official Gong, Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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