Irene Services | |
5430 Campbell Blvd Ste 204 White Marsh MD 21162-5504 | |
(443) 823-5066 | |
(443) 327-5266 |
Full Name | Irene Services |
---|---|
Speciality | Internal Medicine |
Location | 5430 Campbell Blvd Ste 204, White Marsh, Maryland |
Authorized Official Name and Position | Zhenhua Jiang (PRESIDENT) |
Authorized Official Contact | 4434141625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Irene Services 5430 Campbell Blvd Ste 204 White Marsh MD 21162-5504 Ph: (443) 823-5066 | Irene Services 5430 Campbell Blvd Ste 204 White Marsh MD 21162-5504 Ph: (443) 823-5066 |
NPI Number | 1700649902 |
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Provider Enumeration Date | 02/01/2024 |
Last Update Date | 02/01/2024 |
Medicare PECOS PAC ID | 2264878180 |
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Medicare Enrollment ID | O20240313002108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700649902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Bing Wang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457685455 PECOS PAC ID: 3375790439 Enrollment ID: I20150929000339 |
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