Outlook Outpatient Services, Llc

NPI 1225448517 - Clinic/Center - 261QR0405X

NPI Details
NPI 1225448517
Enumeration Date 05/07/2014
Last Updated 05/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JASON VAUGHAN JASON
Position PROGRAM DIRECTOR
Phone (301) 401-2047
Fax
Practice Location
21030 POINT LOOKOUT RD
#10
CALLAWAY MD, 20620-2339, US
Phone (301) 401-2047
Fax
Business Location
8417 MARKETREE CIR
MONTGOMERY VILLAGE MD, 20886-4952, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State
License Number
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According to our database, Outlook Outpatient Services, Llc NPI is 1225448517, taxonomy code is 261QR0405X Outlook Outpatient Services, Llc physically located at 21030 Point Lookout Rd, Callaway MD, 20620-2339. NPI Number 1033115704 has the healthcare provider type.

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1225448517 NPI number is provided on an as is basis without warranty of any kind. 1225448517 is maintained by the National Plan & Provider Enumeration System. The contents of Outlook Outpatient Services, Llc are for informational purposes only.