Provider Demographics
NPI:1346539038
Name:REALITY RESOURCE GROUP OF MARYLAND, INC.
Entity Type:Organization
Organization Name:REALITY RESOURCE GROUP OF MARYLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWALENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-451-7834
Mailing Address - Street 1:1643 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5040
Mailing Address - Country:US
Mailing Address - Phone:516-451-7834
Mailing Address - Fax:516-693-9202
Practice Address - Street 1:3017 GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-1302
Practice Address - Country:US
Practice Address - Phone:410-400-0198
Practice Address - Fax:410-423-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903979302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization