| Harford Mobile Medicine Llc | |
|
1501 Morse Rd Forest Hill MD 21050-1003 | |
| (443) 243-9371 | |
| Not Available |
| Full Name | Harford Mobile Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 Morse Rd, Forest Hill, Maryland |
| Authorized Official Name and Position | Christine O Newsome (OWNER) |
| Authorized Official Contact | 4432439371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harford Mobile Medicine Llc 1501 Morse Rd Forest Hill MD 21050-1003 Ph: (443) 243-9371 | Harford Mobile Medicine Llc 1501 Morse Rd Forest Hill MD 21050-1003 Ph: (443) 243-9371 |
| NPI Number | 1043910136 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2567837065 |
|---|---|
| Medicare Enrollment ID | O20230415000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043910136 | NPI | - | NPPES |
| 1609107556 | Medicaid | MD | |
| R152794 | Other | MD | MARYLAND BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christine O Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609107556 PECOS PAC ID: 4486877388 Enrollment ID: I20140522000167 |
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