| Crossroads Primary Care And Integrative Medicine | |
|
4801 Dorsey Hall Dr Suite 201 Ellicott City MD 21042-7766 | |
| (410) 997-7660 | |
| (410) 997-5377 |
| Full Name | Crossroads Primary Care And Integrative Medicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4801 Dorsey Hall Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Cathy Lynn Faggio (MANAGER) |
| Authorized Official Contact | 4109977660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Primary Care And Integrative Medicine 4801 Dorsey Hall Dr Suite 201 Ellicott City MD 21042-7766 Ph: (410) 997-7660 | Crossroads Primary Care And Integrative Medicine 4801 Dorsey Hall Dr Suite 201 Ellicott City MD 21042-7766 Ph: (410) 997-7660 |
| NPI Number | 1447513684 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447513684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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