| Hill Top Medical Services Llc | |
|
4102 Tall Willows Rd Ellicott City MD 21043-5136 | |
| (667) 802-0917 | |
| Not Available |
| Full Name | Hill Top Medical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4102 Tall Willows Rd, Ellicott City, Maryland |
| Authorized Official Name and Position | Emmanuel Osei-boamah (OWNER) |
| Authorized Official Contact | 6678020917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hill Top Medical Services Llc 4102 Tall Willows Rd Ellicott City MD 21043-5136 Ph: () - | Hill Top Medical Services Llc 4102 Tall Willows Rd Ellicott City MD 21043-5136 Ph: (667) 802-0917 |
| NPI Number | 1881309730 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Medicare PECOS PAC ID | 5597122044 |
|---|---|
| Medicare Enrollment ID | O20230529000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881309730 | NPI | - | NPPES |
| 014915200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Emmanuel Osei Boamah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639282460 PECOS PAC ID: 6901802495 Enrollment ID: I20080609000894 |
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