Mary Grace S Tanguilan (NPI# 1164853560, PAC ID# 5294951091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1164853560 |
PAC ID by PECOS | 5294951091 |
Professional Enrollment ID | I20140731001915 |
Full Name | Mary Grace S Tanguilan |
Organization Legal Name | HARFORD PRIMARY CARE LLC |
Address |
3401 Box Hill Corporate Ctr Dr Abingdon MD 21009-1200 |
Phone Number | 4106710017 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 3971499971 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
210006 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 | 4106710017 | HARFORD PRIMARY CARE LLC |
2 N Ave, Suite 101, Bel Air, MD 21014-2303 | 4108386434 | HARFORD PRIMARY CARE LLC |
Organization Legal Name | HARFORD PRIMARY CARE LLC |
Physicians | 22 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly L Moreland | Nurse Practitioner | Harford Primary Care LLC | 3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 |
Regina Toal | Nurse Practitioner | Harford Primary Care LLC | 622 S Union Ave, Havre De Grace, MD 21078-3422 |
Shilpi Khosla | Internal Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
Erin E Prokop | Nurse Practitioner | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
Vijay Abhyankar | Internal Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
Reuben E Abraham | Internal Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
Robert A Duncan | Family Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
Robert L Smith | Internal Medicine | Harford Primary Care LLC | 615 W Macphail Rd, Suite 106, Bel Air, MD 21014-4393 |
David W Mcclure | Family Medicine | Harford Primary Care LLC | 3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 |
Fleta H Sokal | Family Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
Street Address |
3401 BOX HILL CORPORATE CTR DR |
City | ABINGDON |
State | MD |
Zip | 21009-1200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly L Moreland | Nurse Practitioner | Harford Primary Care LLC | 3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 |
David W Mcclure | Family Medicine | Harford Primary Care LLC | 3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 |
Peter J Lopresti | Internal Medicine | Harford Primary Care LLC | 3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 |
Michael K Block | Podiatry | Michael K. Block, Dpm, LLC | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009-1200 |
Stanley M Kman | Internal Medicine | Harford Primary Care LLC | 3401 Box Hill Corporate Ctr Dr, Abingdon, MD 21009-1200 |
Monica Lee Cooney | Podiatry | Michael K. Block, Dpm, LLC | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009-1200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren A Gormley | Optometry | Katzen Medical Associates PC | 3401 Box Hll Corp Ctr Dr, Suite 202, Abingdon, MD 21009-1200 |
David Levin Heath | Optometry | Katzen Medical Associates PC | 3401 Box Hll Corp Ctr Dr, Suite 202, Abingdon, MD 21009-1200 |
Shruti Aggarwal | Ophthalmology | Katzen Medical Associates PC | 3401 Box Hll Corp Ctr Dr, Suite 202, Abingdon, MD 21009-1200 |
Rachel L Granata | Physical Therapy | Upper Chesapeake Health Rehabilitation Services LLC | 101 Walter Ward Blvd, Abingdon, MD 21009-1210 |
Megan M Wilson | Physical Therapy | Upper Chesapeake Health Rehabilitation Services LLC | 101 Walter Ward Blvd, Abingdon, MD 21009-1210 |
Benjamin M Farkas | Physician Assistant | Englert Dermatology LLC | 3445 Box Hill Corporate Ctr Dr, Suite E, Abingdon, MD 21009-1223 |
Deborah A Englert | Dermatology | Englert Dermatology LLC | 3445 Box Hill Corporate Ctr Dr, Suite E, Abingdon, MD 21009-1223 |
Nina D Garcia | Physician Assistant | Englert Dermatology LLC | 3445 Box Hill Corporate Ctr Dr, Suite E, Abingdon, MD 21009-1223 |
Jennifer B Kerstetter | Nurse Practitioner | Englert Dermatology LLC | 3445 Box Hill Corporate Ctr Dr, Suite E, Abingdon, MD 21009-1223 |
James T Mccloskey | Physician Assistant | Englert Dermatology LLC | 3445 Box Hill Corporate Ctr Dr, Suite E, Abingdon, MD 21009-1223 |
Find all physicians in zip 21009 |
City | ABINGDON |
Zip Code | 21009 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ABINGDON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mary Grace S Tanguilan.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.