| Jhcp - 14207 Park Center Drive Ste 102 | |
|
14207 Park Center Dr Ste 102 Laurel MD 20707-5255 | |
| (410) 933-0000 | |
| Not Available |
| Full Name | Jhcp - 14207 Park Center Drive Ste 102 |
|---|---|
| Speciality | Internal Medicine |
| Location | 14207 Park Center Dr Ste 102, Laurel, Maryland |
| Authorized Official Name and Position | Steven Kravet (AO) |
| Authorized Official Contact | 4109330000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhcp - 14207 Park Center Drive Ste 102 6201 Greenleigh Ave Middle River MD 21220-2004 Ph: (410) 933-0000 | Jhcp - 14207 Park Center Drive Ste 102 14207 Park Center Dr Ste 102 Laurel MD 20707-5255 Ph: (410) 933-0000 |
| NPI Number | 1154140614 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154140614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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