| |
7351 Assateague Dr Ste 250, Jessup, MD 20794-3212 | |
(410) 904-7701 | |
(410) 799-1285 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 7351 Assateague Dr Ste 250, Jessup, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154864627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA2082 (Maryland) | Primary |
Provider Name | Alizzi J Stanchel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033398029 PECOS PAC ID: 0749354652 Enrollment ID: I20080811000160 |
Mailing Address | Practice Location Address |
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7351 Assateague Dr Ste 250, Jessup, MD 20794-3212 Ph: (410) 904-7701 | 7351 Assateague Dr Ste 250, Jessup, MD 20794-3212 Ph: (410) 904-7701 |
Alizzi Stanchel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7351 Assateague Dr Ste 250, Jessup, MD 20794 Phone: 410-904-7701 |