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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE HERON MEDICAL GROUP LLC

Active Organization

BLUE HERON MEDICAL GROUP LLC is a Internal Medicine organization located in POCOMOKE CITY, Maryland. NPI 1861686313 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · POCOMOKE CITY, MD

Registration Details

NPI Number
1861686313
Provider Type
Organization
NPI Issued
Aug 28, 2007 (18.956068255304 yrs)
Last Updated
Mar 1, 2012
Licenses
D058928 (MD)
D45995 (MD)
D24871 (MD)
D36576 (MD)
Q37875 (MD)

Practice Information

Address
305 10TH ST
STE 101
POCOMOKE CITY, MD, 218511607
Browse MD providers · Browse ZIP 21851
Phone
4109573005
Fax
4109570550
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Family Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Family Nurse Practitioner

Other Internal Medicine Organizations in POCOMOKE CITY, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.