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4922 Lasalle Rd Hyattsville MD 20782-3302 | |
| (301) 864-2333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 4922 Lasalle Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Mark Anthony Yost (CEO) |
| Authorized Official Contact | 3018642333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4922b Lasalle Rd Hyattsville MD 20782-3302 Ph: () - | 4922 Lasalle Rd Hyattsville MD 20782-3302 Ph: (301) 864-2333 |
| NPI Number | 1497269336 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497269336 | NPI | - | NPPES |
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