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5009 Honeygo Center Dr Ste 210 Perry Hall MD 21128-9842 | |
(443) 725-2110 | |
(443) 725-2115 |
Full Name | |
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Speciality | General Practice |
Location | 5009 Honeygo Center Dr Ste 210, Perry Hall, Maryland |
Authorized Official Name and Position | Stephanie Schneider (VICE PRESIDENT) |
Authorized Official Contact | 7035581403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3007 Tilden St Nw Ste 5n Washington DC 20008-3030 Ph: () - | 5009 Honeygo Center Dr Ste 210 Perry Hall MD 21128-9842 Ph: (443) 725-2110 |
NPI Number | 1487326013 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 12/05/2024 |
Identifier | Type | State | Issuer |
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1487326013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |