| Victory Medical Center | |
|
1101 N Point Blvd Ste 110 Baltimore MD 21224-3417 | |
| (443) 449-3003 | |
| Not Available |
| Full Name | Victory Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1101 N Point Blvd Ste 110, Baltimore, Maryland |
| Authorized Official Name and Position | Victoria Adaramaja (NURSE PRACTITIONER) |
| Authorized Official Contact | 4434493003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Medical Center 1101 N Point Blvd Ste 110 Baltimore MD 21224-3417 Ph: (443) 449-3003 | Victory Medical Center 1101 N Point Blvd Ste 110 Baltimore MD 21224-3417 Ph: (443) 449-3003 |
| NPI Number | 1740798412 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 04/27/2018 |
| Medicare PECOS PAC ID | 0446512388 |
|---|---|
| Medicare Enrollment ID | O20180313000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740798412 | NPI | - | NPPES |
| Provider Name | Victoria Adaramaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356743181 PECOS PAC ID: 0244544773 Enrollment ID: I20150728006178 |
| Provider Name | Ngozika P Okoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497178727 PECOS PAC ID: 6204225758 Enrollment ID: I20211123000167 |
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