Organization · NPI-2

Advanced Healthcare Center, LLC

Family Medicine, Bariatric Medicine · Laurel, MD

NPI number1174702237
StatusActive
Last updated in NPPESJul 25, 2012

Details

NPI
1174702237
Entity type
Organization (NPI-2)
Legal business name
Advanced Healthcare Center, LLC
Organization subpart
No
Enumeration date
Oct 25, 2007
Last updated
Jul 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QB0002X Family Medicine, Bariatric Medicine––Yes

Practice location

1046 West St
Laurel, MD 20707-3531

Phone 301-490-8383 · Fax 301-490-9770

Mailing address

1046 West St
Laurel, MD 20707-3531

Phone 301-490-8383 · Fax 301-490-9770

Authorized official

Naomi Nmi Ihedioha
Owner/President
3014908383

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