Organization · NPI-2

3rdroom Enterprises

Family Medicine · Hyattsville, MD

NPI number1104404813
StatusActive
Last updated in NPPESApr 1, 2021

Details

NPI
1104404813
Entity type
Organization (NPI-2)
Legal business name
3rdroom Enterprises
Organization subpart
No
Enumeration date
Apr 1, 2021
Certification date
Mar 31, 2021
Last updated
Apr 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • 3r Medical Solutions (Doing Business As)

Practice location

7100 Chesapeake Rd Ste 101
Hyattsville, MD 20784-2353

Phone 718-781-0585 · Fax 754-212-0473

Mailing address

1506 Danwood Ln
Bowie, MD 20721-3230

Phone 718-781-0585 · Fax 754-212-0473

Authorized official

Sorelle Cooper
Owner
7187810585

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