| Quality Medical Care, Llc | |
|
5450 Knoll North Dr Suite 100 Columbia MD 21045-2373 | |
| (410) 964-4508 | |
| (410) 964-4578 |
| Full Name | Quality Medical Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5450 Knoll North Dr, Columbia, Maryland |
| Authorized Official Name and Position | Marie-alberte Boursiquot (PHYSICIAN) |
| Authorized Official Contact | 4109644508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Medical Care, Llc 5450 Knoll North Dr Suite 100 Columbia MD 21045-2373 Ph: (410) 964-4508 | Quality Medical Care, Llc 5450 Knoll North Dr Suite 100 Columbia MD 21045-2373 Ph: (410) 964-4508 |
| NPI Number | 1265602346 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265602346 | NPI | - | NPPES |
| 913310100 | Medicaid | MD | |
| 014N | Other | MD | MEDICARE |
| G62516 | Other | MD | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0051958 (Maryland) | Primary |
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