Organization · Type 2 NPI
Innovative MWLM LLC
General Practice Physician · Rosedale, MD
NPI number
1639979305
Active
Practice location
9526 Philadelphia Rd
Rosedale, MD 21237-4106
Fax (443) 327-5282
Mailing address
100 Walter Ward Blvd Ste 200
Abingdon, MD 21009-1285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Rosedale
About NPI 1639979305
Innovative MWLM LLC's National Provider Identifier is 1639979305, issued on Mar 13, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rosedale, MD. The record was last updated on Mar 13, 2025.