| Amboseli Medical And Wellness Ctr | |
|
8320 Fenton Street Suite 122 Silver Spring MD 20910 | |
| (301) 660-3035 | |
| Not Available |
| Full Name | Amboseli Medical And Wellness Ctr |
|---|---|
| Speciality | Clinic/center |
| Location | 8320 Fenton Street Suite 122, Silver Spring, Maryland |
| Authorized Official Name and Position | Raphael Gaston Loutoby (CEO) |
| Authorized Official Contact | 3016603035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amboseli Medical And Wellness Ctr 5425 Wisconsin Ave Ste 600 Chevy Chase MD 20815-3588 Ph: () - | Amboseli Medical And Wellness Ctr 8320 Fenton Street Suite 122 Silver Spring MD 20910 Ph: (301) 660-3035 |
| NPI Number | 1942544887 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942544887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D0070195 (Maryland) | Primary |
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