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

Blackwater Medical Associates, LLC

Organization Family Medicine Physician · NPI 1508986092

Blackwater Medical Associates, LLC provides Family Medicine Physician services in Cambridge, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
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
Phone: (410) 228-1068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0050804 (MD)

Record details

NPI number1508986092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Malkus — President · (410) 228-1068
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address408 Byrn St, Cambridge, MD 21613-1910

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