| Maj Comprehensive Wellness Center Llc | |
|
9841 Washingtonian Blvd Ste 200 Gaithersburg MD 20878-7350 | |
| (240) 751-4814 | |
| Not Available |
| Full Name | Maj Comprehensive Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9841 Washingtonian Blvd Ste 200, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mary W Tarawalie (PRESIDENT) |
| Authorized Official Contact | 2407514814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maj Comprehensive Wellness Center Llc 9841 Washingtonian Blvd Ste 200 Gaithersburg MD 20878-7350 Ph: (240) 751-4814 | Maj Comprehensive Wellness Center Llc 9841 Washingtonian Blvd Ste 200 Gaithersburg MD 20878-7350 Ph: (240) 751-4814 |
| NPI Number | 1891478566 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 9234593864 |
|---|---|
| Medicare Enrollment ID | O20230914001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891478566 | NPI | - | NPPES |
| Provider Name | Mary Warrah Tarawalie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528614245 PECOS PAC ID: 1951718386 Enrollment ID: I20210331000016 |
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