Organization · Type 2 NPI

Gosheni LLC

Health Service Clinic/Center · Upper Marlboro, MD

NPI number 1679024913 Active

Practice location

605 Avis Dr
Upper Marlboro, MD 20774-2283

Fax (301) 324-0897

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XHCSA9912127 (MD)

Health Service Clinic/Center: Definition to come...

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About NPI 1679024913

Gosheni LLC's National Provider Identifier is 1679024913, issued on Oct 21, 2016. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Upper Marlboro, MD. The record was last updated on Oct 21, 2016.