| Ellicott City Primary Care Llc | |
|
9055 Chevrolet Dr Ste 100 Ellicott City MD 21042-4091 | |
| (410) 862-8860 | |
| (410) 988-5095 |
| Full Name | Ellicott City Primary Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9055 Chevrolet Dr Ste 100, Ellicott City, Maryland |
| Authorized Official Name and Position | Debra Goldman Curtis (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4108628860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellicott City Primary Care Llc 9055 Chevrolet Dr Ste 100 Ellicott City MD 21042-4091 Ph: (410) 862-8860 | Ellicott City Primary Care Llc 9055 Chevrolet Dr Ste 100 Ellicott City MD 21042-4091 Ph: (410) 862-8860 |
| NPI Number | 1720661812 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720661812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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