Ch Md Northern Collaborative Care Pc

NPI 1114328549 - Internal Medicine - 207R00000X

NPI Details
NPI 1114328549
Enumeration Date 09/04/2014
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MELISSA M MELISSA
Position CHIEF FINANCIAL OFFICER
Phone (667) 207-7005
Fax (888) 722-4282
Practice Location
2300 OXFORD SHIRE CT
WALDORF MD, 20603-3215, US
Phone (667) 207-7005
Fax (888) 722-4282
Business Location
4055 VALLEY VIEW LN
SUITE 400
DALLAS TX, 75244-5074, US
Phone (972) 715-3800
Fax (888) 722-4282
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1114328549 NPI Number
 

According to our database, Ch Md Northern Collaborative Care Pc NPI is 1114328549, taxonomy code is 207R00000X Ch Md Northern Collaborative Care Pc physically located at 2300 Oxford Shire Ct, Waldorf MD, 20603-3215. NPI Number 1033115704 has the healthcare provider type.

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1114328549 NPI number is provided on an as is basis without warranty of any kind. 1114328549 is maintained by the National Plan & Provider Enumeration System. The contents of Ch Md Northern Collaborative Care Pc are for informational purposes only.