OrganizationActive
126th Street Medical
NPI 1316949787 · Family Medicine Physician · Ocean City, MD
Provider details
- NPI number
- 1316949787
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Victor Gong, Medical Officer
- License
- D0032615 (MD)
Practice location
12601 D Coastal Highway
Ocean City, MD 21842-9784
Phone: (410) 250-8000
Fax: (410) 250-1308
Mailing address
12601 D Coastal Highway
Ocean City, MD 21842-9784
Registry dates
- Enumerated
- 2005-08-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.