Organization · Type 2 NPI
State of Maryland
Public Health or Welfare Agency · Prince Frederick, MD
NPI number
1619034006
Active
Practice location
975 Solomons Island Road North
Prince Frederick, MD 20678
Fax (410) 535-5285
Mailing address
PO Box 980
Prince Frederick, MD 20678-0980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | D10879 (MD) |
Public Health or Welfare Agency: Definition to come...
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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.