Organization · Type 2 NPI
Vivis Family Medicine LLC
Primary Care Clinic/Center · Upper Marlboro, MD
NPI number
1174237200
Active
Practice location
3606 Chancelsors Dr
Upper Marlboro, MD 20772-8194
Fax (218) 264-3428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1174237200
Vivis Family Medicine LLC's National Provider Identifier is 1174237200, issued on Jan 12, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jan 12, 2023.