NPI 1316949787 · live from the CMS NPI Registry
126th Street Medical
Family Medicine in Ocean City, MD. National Provider Identifier 1316949787, active.
NPI record
| NPI | 1316949787 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 12601 D Coastal Highway, Ocean City, MD 21842 |
| Practice phone | 410-250-8000 |
| Enumerated | August 15, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Victor Gong, Medical Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | D0032615 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.