Hydrxafuse, Llc | |
49 Old Solomons Island Rd Ste 104 Annapolis MD 21401-3861 | |
(443) 699-0321 | |
Not Available |
Full Name | Hydrxafuse, Llc |
---|---|
Speciality | Internal Medicine |
Location | 49 Old Solomons Island Rd Ste 104, Annapolis, Maryland |
Authorized Official Name and Position | Towanna Fontenot (MEDICAL DIRECTOR/PHYSICIAN) |
Authorized Official Contact | 4436990321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hydrxafuse, Llc 49 Old Solomons Island Rd Ste 104 Annapolis MD 21401-3861 Ph: (443) 699-0321 | Hydrxafuse, Llc 49 Old Solomons Island Rd Ste 104 Annapolis MD 21401-3861 Ph: (443) 699-0321 |
NPI Number | 1417418724 |
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Provider Enumeration Date | 03/28/2019 |
Last Update Date | 05/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417418724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
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