Organization · Type 2 NPI

State of Maryland

Public Health or Welfare Agency · Prince Frederick, MD

NPI number 1619034006 Active

About NPI 1619034006

State of Maryland's National Provider Identifier is 1619034006, issued on Jan 3, 2007. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Prince Frederick, MD. The record was last updated on Jun 12, 2008.