Queen Anne's County Health Department

NPI 1174893556 - Clinic/Center - 261QR0405X

NPI Details
NPI 1174893556
Enumeration Date 01/03/2012
Last Updated 12/04/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GARY B GARY
Position PROGRAM DIRECTOR
Phone (410) 758-1306
Fax (410) 758-2133
Practice Location
205 N LIBERTY ST
CENTREVILLE MD, 21617-1022, US
Phone (410) 758-1306
Fax (410) 758-2133
Business Location
206 N COMMERCE ST
CENTREVILLE MD, 21617-1049, US
Phone (410) 758-1306
Fax (410) 758-2133
Toxanomy
Taxonomy Code 261QR0405X
License State Maryland
License Number 750325
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According to our database, Queen Anne's County Health Department NPI is 1174893556, taxonomy code is 261QR0405X and license number is 750325, license state is located at Maryland. Queen Anne's County Health Department physically located at 205 N Liberty St, Centreville MD, 21617-1022. NPI Number 1033115704 has the healthcare provider type.

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1174893556 NPI number is provided on an as is basis without warranty of any kind. 1174893556 is maintained by the National Plan & Provider Enumeration System. The contents of Queen Anne's County Health Department are for informational purposes only.