Provider Demographics
NPI:1821756107
Name:INTERNAL MEDICINE CONSULTATION SERVICES, LLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE CONSULTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-291-2281
Mailing Address - Street 1:12912 CONAMAR DR UNIT 1853
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-7502
Mailing Address - Country:US
Mailing Address - Phone:301-824-9240
Mailing Address - Fax:301-720-8182
Practice Address - Street 1:13121 CLOPPER RD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-4814
Practice Address - Country:US
Practice Address - Phone:240-291-2281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty