Provider Demographics
NPI:1891131918
Name:MID-ATLANTIC RHEUMATOLOGY
Entity Type:Organization
Organization Name:MID-ATLANTIC RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERINN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-787-9400
Mailing Address - Street 1:231 NAJOLES RD STE 160
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2649
Mailing Address - Country:US
Mailing Address - Phone:410-787-9400
Mailing Address - Fax:
Practice Address - Street 1:231 NAJOLES RD STE 160
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2649
Practice Address - Country:US
Practice Address - Phone:410-787-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD63979207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty