| Discoverymd, Hanover | |
|
7240 Parkway Dr Ste 140 Hanover MD 21076-1367 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | Discoverymd, Hanover |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7240 Parkway Dr Ste 140, Hanover, Maryland |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discoverymd, Hanover 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Discoverymd, Hanover 7240 Parkway Dr Ste 140 Hanover MD 21076-1367 Ph: (714) 828-1800 |
| NPI Number | 1235566373 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235566373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC2259 (Maryland) | Primary |
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