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12321 Middlebrook Rd Ste 102 Germantown MD 20874-1512 | |
(301) 428-1070 | |
(301) 428-3192 |
Full Name | |
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Speciality | General Practice |
Location | 12321 Middlebrook Rd Ste 102, Germantown, Maryland |
Authorized Official Name and Position | Roxanna Norris (SENIOR REVENUE CYCLE MANAGER) |
Authorized Official Contact | 3014281070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12321 Middlebrook Rd Ste 102 Germantown MD 20874-1512 Ph: (301) 428-1070 | 12321 Middlebrook Rd Ste 102 Germantown MD 20874-1512 Ph: (301) 428-1070 |
NPI Number | 1083459358 |
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Provider Enumeration Date | 06/28/2024 |
Last Update Date | 06/28/2024 |
Identifier | Type | State | Issuer |
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1083459358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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