Organization · Type 2 NPI
Old Line Medical Services, P.c.
Health Service Clinic/Center · Waldorf, MD
NPI number
1164580635
Active
Practice location
12090 Old Line Ctr
Waldorf, MD 20602-2556
Fax (301) 870-6838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1164580635
Old Line Medical Services, P.c.'s National Provider Identifier is 1164580635, issued on Dec 5, 2006. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Waldorf, MD. The record was last updated on Jul 15, 2010.