Eden Health Clinic INC
Clinic/Center, Multi-Specialty in Gaithersburg, MD. Organization (NPI-2).
NPI number1285310847
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1285310847
- Entity type
- Organization (NPI-2)
- Legal business name
- Eden Health Clinic INC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2023
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Practice location
481 N Frederick Ave Ste 103Gaithersburg, MD 20877-2470
Phone 240-203-8881
Mailing address
481 N Frederick Ave Ste 103Gaithersburg, MD 20877-2470
Phone 240-203-8881
Authorized official
Ruby Lee
Authorized Official
2402038881
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