Organization · NPI-2

Ez Primed LLC

Internal Medicine · Timonium, MD

NPI number1619614724
StatusActive
Last updated in NPPESMay 31, 2023

Details

NPI
1619614724
Entity type
Organization (NPI-2)
Legal business name
Ez Primed LLC
Organization subpart
No
Enumeration date
May 19, 2022
Certification date
May 31, 2023
Last updated
May 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Allan J Chircus MD (Former Legal Business Name)

Practice location

2219 York Rd Ste 106
Timonium, MD 21093-3174

Phone 410-453-0002 · Fax 410-453-0380

Mailing address

2219 York Rd Ste 106
Timonium, MD 21093-3174

Phone 410-453-0002 · Fax 410-453-0380

Authorized official

Youna Raminfar
Clinical Manager
3472323313

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