| Graceon Family And Womens Clinic Llc | |
|
7315 Hanover Pkwy Ste 1b Greenbelt MD 20770-2035 | |
| (240) 965-7141 | |
| (240) 965-7164 |
| Full Name | Graceon Family And Womens Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7315 Hanover Pkwy Ste 1b, Greenbelt, Maryland |
| Authorized Official Name and Position | Victoria Ngozi Ogbuji (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2409657141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceon Family And Womens Clinic Llc 7315 Hanover Pkwy Ste 1b Greenbelt MD 20770-2035 Ph: (240) 965-7141 | Graceon Family And Womens Clinic Llc 7315 Hanover Pkwy Ste 1b Greenbelt MD 20770-2035 Ph: (240) 965-7141 |
| NPI Number | 1477283620 |
|---|---|
| Provider Enumeration Date | 06/12/2022 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 2860868957 |
|---|---|
| Medicare Enrollment ID | O20221013003782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477283620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Victoria Ngozi Ogbuji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598252561 PECOS PAC ID: 2062841349 Enrollment ID: I20200408000870 |
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