| Joseph A. Maravi, Llc | |
|
585 Main St Ste 143 Laurel MD 20707-4354 | |
| (301) 490-0778 | |
| Not Available |
| Full Name | Joseph A. Maravi, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 585 Main St Ste 143, Laurel, Maryland |
| Authorized Official Name and Position | Joseph Ari Maravi (PRESIDENT) |
| Authorized Official Contact | 4438319001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A. Maravi, Llc 6486 Onward Trl Clarksville MD 21029-1282 Ph: (443) 831-9001 | Joseph A. Maravi, Llc 585 Main St Ste 143 Laurel MD 20707-4354 Ph: (301) 490-0778 |
| NPI Number | 1497232433 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 07/23/2018 |
| Medicare PECOS PAC ID | 2567714355 |
|---|---|
| Medicare Enrollment ID | O20181005000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497232433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 07383 (Maryland) | Primary |
| Provider Name | Joseph A Maravi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679514699 PECOS PAC ID: 9537107578 Enrollment ID: I20181005000581 |
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