| Tateioms, Llc | |
|
14502 Greenview Dr Ste 340 Laurel MD 20708-4227 | |
| (301) 362-0090 | |
| (301) 362-0092 |
| Full Name | Tateioms, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14502 Greenview Dr Ste 340, Laurel, Maryland |
| Authorized Official Name and Position | Regina Marlene Sharber (PRESIDENT AND CEO) |
| Authorized Official Contact | 3013620090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tateioms, Llc 14502 Greenview Dr Ste 340 Laurel MD 20708-4227 Ph: (301) 362-0090 | Tateioms, Llc 14502 Greenview Dr Ste 340 Laurel MD 20708-4227 Ph: (301) 362-0090 |
| NPI Number | 1669676565 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Medicare PECOS PAC ID | 8022187566 |
|---|---|
| Medicare Enrollment ID | O20080523000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669676565 | NPI | - | NPPES |
| Provider Name | Laurence Joseph Greenwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386675601 PECOS PAC ID: 6901886217 Enrollment ID: I20040726000425 |
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