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4829 Independence Dr Port Republic MD 20676-2053 | |
(443) 422-0738 | |
Not Available |
Full Name | |
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Speciality | Physician Assistant - Medical |
Location | 4829 Independence Dr, Port Republic, Maryland |
Authorized Official Name and Position | Pius Owusu Afriyie (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 4434220738 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4829 Independence Dr Port Republic MD 20676-2053 Ph: (443) 422-0738 | 4829 Independence Dr Port Republic MD 20676-2053 Ph: (443) 422-0738 |
NPI Number | 1053134916 |
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Provider Enumeration Date | 11/07/2024 |
Last Update Date | 11/07/2024 |
Identifier | Type | State | Issuer |
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1053134916 | NPI | - | NPPES |