Benew A Professional Llc | |
9500 Medical Center Dr Ste 105 Largo MD 20774-3703 | |
(301) 615-4133 | |
Not Available |
Full Name | Benew A Professional Llc |
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Speciality | Family Medicine |
Location | 9500 Medical Center Dr Ste 105, Largo, Maryland |
Authorized Official Name and Position | Uloma Ibe (MANAGING MEMBER) |
Authorized Official Contact | 2027043010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Benew A Professional Llc 9500 Medical Center Dr Ste 105 Largo MD 20774-3703 Ph: (301) 615-4133 | Benew A Professional Llc 9500 Medical Center Dr Ste 105 Largo MD 20774-3703 Ph: (301) 615-4133 |
NPI Number | 1629789573 |
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Provider Enumeration Date | 12/12/2022 |
Last Update Date | 12/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629789573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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