Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blackwater Medical Associates, LLC

Organization Specialist · NPI 1063722171

Blackwater Medical Associates, LLC provides Specialist services in Cambridge, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

408 Byrn St
Cambridge, MD 21613-1910 Not confirmed with CMS for 15 years — call before visiting
Phone: (410) 228-1068
Fax: (410) 228-6338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence D0080504 (MD)

Record details

NPI number1063722171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Malkus — President · (410) 228-1068
NPI enumeratedOctober 8, 2010
Last updated in NPPESOctober 8, 2010
Mailing address408 Byrn St, Cambridge, MD 21613-1910

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