Provider Demographics
NPI:1669348983
Name:UNION MEDICAL LLC
Entity type:Organization
Organization Name:UNION MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIONDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-939-4477
Mailing Address - Street 1:251 LEWIS LN STE 201
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3753
Mailing Address - Country:US
Mailing Address - Phone:410-939-4477
Mailing Address - Fax:410-939-1146
Practice Address - Street 1:251 LEWIS LN STE 201
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3753
Practice Address - Country:US
Practice Address - Phone:410-939-4477
Practice Address - Fax:410-939-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD982961000Medicaid