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Mountain View Primary Care INC

Clinic/Center, Primary Care in Cumberland, MD. Organization (NPI-2).

NPI number1508166752
StatusActive
Last updated in NPPESFeb 19, 2016

Details

NPI
1508166752
Entity type
Organization (NPI-2)
Legal business name
Mountain View Primary Care INC
Organization subpart
No
Enumeration date
Oct 21, 2010
Last updated
Feb 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary CareR087737MDYes

Practice location

1602 Ford Ave
Cumberland, MD 21502-4612

Phone 301-759-4544 · Fax 301-723-4446

Mailing address

1602 Ford Ave
Cumberland, MD 21502-4612

Phone 301-759-4544 · Fax 301-723-4446

Authorized official

Thomas Alan Bostaph
President / Owner
2405228250

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