Capital Area Physician Weight & Wellness Center, Inc | |
3581 Old Washington Rd # C Waldorf MD 20602-3270 | |
(703) 255-6010 | |
(703) 255-6011 |
Full Name | Capital Area Physician Weight & Wellness Center, Inc |
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Speciality | Internal Medicine - Obesity Medicine |
Location | 3581 Old Washington Rd # C, Waldorf, Maryland |
Authorized Official Name and Position | Sree Gogineni (OWNER) |
Authorized Official Contact | 7035939341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Capital Area Physician Weight & Wellness Center, Inc 44121 Leesburg Pike Ste 250 Ashburn VA 20147-5674 Ph: (703) 255-6010 | Capital Area Physician Weight & Wellness Center, Inc 3581 Old Washington Rd # C Waldorf MD 20602-3270 Ph: (703) 255-6010 |
NPI Number | 1912726795 |
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Provider Enumeration Date | 10/08/2024 |
Last Update Date | 10/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912726795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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