Bodywise Health LLC
Family Medicine, Bariatric Medicine in Bethesda, MD. Organization (NPI-2).
NPI number1477453173
StatusActive
Last updated in NPPESNov 6, 2026
Details
- NPI
- 1477453173
- Entity type
- Organization (NPI-2)
- Legal business name
- Bodywise Health LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2026
- Certification date
- Nov 6, 2026
- Last updated
- Nov 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QB0002X | Family Medicine, Bariatric Medicine | – | – | Yes |
Practice location
4853 Cordell Ave Ph 10Bethesda, MD 20814-3036
Phone 240-262-3194 · Fax 240-655-0648
Mailing address
4853 Cordell Ave Ph 10Bethesda, MD 20814-3036
Phone 240-262-3194 · Fax 240-655-0648
Authorized official
Stacy Hom
Physician Owner
3104002253
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