| Pax Health Services | |
|
8600 Lasalle Rd Ste 321 Towson MD 21286-2011 | |
| (443) 985-0391 | |
| Not Available |
| Full Name | Pax Health Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8600 Lasalle Rd, Towson, Maryland |
| Authorized Official Name and Position | Justina Ugorji (OWNER) |
| Authorized Official Contact | 4439850391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pax Health Services 3 Tokay Ct Randallstown MD 21133-3729 Ph: (443) 985-0391 | Pax Health Services 8600 Lasalle Rd Ste 321 Towson MD 21286-2011 Ph: (443) 985-0391 |
| NPI Number | 1902498462 |
|---|---|
| Provider Enumeration Date | 02/06/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 08/01/2021 |
| Medicare PECOS PAC ID | 7113317355 |
|---|---|
| Medicare Enrollment ID | O20211202002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902498462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Justina Kenna Ugorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796901 PECOS PAC ID: 8426448655 Enrollment ID: I20211202001842 |
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