Organization · Type 2 NPI
Revive Medical & Aesthetic Clinic
Primary Care Clinic/Center · Greenbelt, MD
NPI number
1104536358
Active
Practice location
7313 Hanover Pkwy Ste A
Greenbelt, MD 20770-3667
Fax (301) 498-7436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1104536358
Revive Medical & Aesthetic Clinic's National Provider Identifier is 1104536358, issued on Nov 29, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Greenbelt, MD. The record was last updated on Nov 29, 2022.