Organization · Type 2 NPI

Envisioncare Medical Associates, LLC

Clinic/Center · Upper Marlboro, MD

NPI number 1578729331 Active

Practice location

10507 Montana Ter
Upper Marlboro, MD 20774-6034

Fax (301) 322-9555

Mailing address

1400 Mercantile Ln, Suite 124
Largo, MD 20774-5341

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNP117688 (MD)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1578729331

Envisioncare Medical Associates, LLC's National Provider Identifier is 1578729331, issued on Jul 31, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jul 31, 2008.