| Ez Primed Llc | |
|
2219 York Rd Ste 106 Timonium MD 21093-3174 | |
| (410) 453-0002 | |
| (410) 453-0380 |
| Full Name | Ez Primed Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2219 York Rd Ste 106, Timonium, Maryland |
| Authorized Official Name and Position | Youna Raminfar (CLINICAL MANAGER) |
| Authorized Official Contact | 3472323313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Primed Llc 2219 York Rd Ste 106 Timonium MD 21093-3174 Ph: (410) 453-0002 | Ez Primed Llc 2219 York Rd Ste 106 Timonium MD 21093-3174 Ph: (410) 453-0002 |
| NPI Number | 1619614724 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 3779966437 |
|---|---|
| Medicare Enrollment ID | O20220814000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619614724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Allan J Chircus |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093708810 PECOS PAC ID: 6406870872 Enrollment ID: I20060124000914 |
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