| Wellness Medicial Center Llc | |
|
10901 Connecticut Ave Suite 100 Kensington MD 20895-1645 | |
| (301) 942-7900 | |
| (301) 942-9837 |
| Full Name | Wellness Medicial Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10901 Connecticut Ave, Kensington, Maryland |
| Authorized Official Name and Position | Aruna S Nathan (PARTNER) |
| Authorized Official Contact | 3019427900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Medicial Center Llc 10901 Connecticut Ave Kensington MD 20895-1645 Ph: (301) 942-7900 | Wellness Medicial Center Llc 10901 Connecticut Ave Suite 100 Kensington MD 20895-1645 Ph: (301) 942-7900 |
| NPI Number | 1407034549 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 06/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407034549 | NPI | - | NPPES |
| 133505 | Other | MD | PTAN |
| 133515ZA1X | Other | MD | PTAN |
| D0053615 | Other | MD | STATE LICENSE |
| 133518ZA1X | Other | MD | PTAN |
| D0057879 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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