Agas Medical Group, Llc

NPI 1134461940 - General Practice - 208D00000X

NPI Details
NPI 1134461940
Enumeration Date 03/19/2013
Last Updated 03/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KIMBERLY A. KIMBERLY
Position PHYSICIAN
Phone (301) 604-0562
Fax (240) 840-9533
Practice Location
9811 MALLARD DR
SUITE # 213
LAUREL MD, 20708-3143, US
Phone (301) 604-0562
Fax (240) 840-9533
Business Location
9811 MALLARD DR
SUITE # 213
LAUREL MD, 20708-3143, US
Phone (301) 604-0562
Fax (240) 840-9533
Toxanomy
Taxonomy Code 208D00000X
License State Maryland
License Number D0034747
Remove 1134461940 NPI Number
 

According to our database, Agas Medical Group, Llc NPI is 1134461940, taxonomy code is 208D00000X and license number is D0034747, license state is located at Maryland. Agas Medical Group, Llc physically located at 9811 Mallard Dr, Laurel MD, 20708-3143. NPI Number 1033115704 has the healthcare provider type.

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1134461940 NPI number is provided on an as is basis without warranty of any kind. 1134461940 is maintained by the National Plan & Provider Enumeration System. The contents of Agas Medical Group, Llc are for informational purposes only.