| Familychoice Clinic Llc | |
|
5513 York Rd Baltimore MD 21212-3804 | |
| (667) 212-2568 | |
| (667) 212-2682 |
| Full Name | Familychoice Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5513 York Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Margaret Temitayo Owolabi (DIRECTOR) |
| Authorized Official Contact | 4438252955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Familychoice Clinic Llc 5513 York Rd Baltimore MD 21212-3804 Ph: (667) 212-2682 | Familychoice Clinic Llc 5513 York Rd Baltimore MD 21212-3804 Ph: (667) 212-2568 |
| NPI Number | 1528572153 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 12/30/2023 |
| Medicare PECOS PAC ID | 4486913191 |
|---|---|
| Medicare Enrollment ID | O20180125000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528572153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Margaret Owolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720597420 PECOS PAC ID: 5395004006 Enrollment ID: I20180125000666 |
| Provider Name | Mary Ranti Alabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497347660 PECOS PAC ID: 4486063344 Enrollment ID: I20210505000362 |
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