| Gilead Associates Llc | |
|
7661 Arundel Mills Blvd Hanover MD 21076-1305 | |
| (672) 250-6736 | |
| Not Available |
| Full Name | Gilead Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7661 Arundel Mills Blvd, Hanover, Maryland |
| Authorized Official Name and Position | Gbemisola Elizabeth Mojelope (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6672250673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilead Associates Llc 206 Mulberry Ridge Ct Pasadena MD 21122-7514 Ph: (432) 038-0944 | Gilead Associates Llc 7661 Arundel Mills Blvd Hanover MD 21076-1305 Ph: (672) 250-6736 |
| NPI Number | 1295342772 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 2567845225 |
|---|---|
| Medicare Enrollment ID | O20220815000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295342772 | NPI | - | NPPES |
| W20623088 | Other | MD | MARYLAND DEPARTMENT OF TAXATION-SDAT |
| Provider Name | Gbemisola Mojelope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632925 PECOS PAC ID: 4183052178 Enrollment ID: I20200325003756 |
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