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226 N Potomac St Hagerstown MD 21740-3813 | |
| (410) 988-2655 | |
| (410) 988-2626 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 226 N Potomac St, Hagerstown, Maryland |
| Authorized Official Name and Position | Islammiyyah B Al-ameen (RN) |
| Authorized Official Contact | 4109882655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
226 N Potomac St Hagerstown MD 21740-3813 Ph: (410) 988-2655 | 226 N Potomac St Hagerstown MD 21740-3813 Ph: (410) 988-2655 |
| NPI Number | 1700595162 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700595162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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