Organization · Type 2 NPI
Revive Treatment Center Inc
General Practice Physician · Silver Spring, MD
NPI number
1861058935
Active
Practice location
1133 E West Hwy Apt 1515W
Silver Spring, MD 20910-6833
Mailing address
10125 Colesville Rd # 137
Silver Spring, MD 20901-2457
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.
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About NPI 1861058935
Revive Treatment Center Inc's National Provider Identifier is 1861058935, issued on May 14, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Silver Spring, MD. The record was last updated on May 14, 2019.