Digestive Disease Clinic, LLC
Specialist in Rockville, MD. Organization (NPI-2).
NPI number1710072749
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1710072749
- Entity type
- Organization (NPI-2)
- Legal business name
- Digestive Disease Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
11400 Rockville PikeSuite 108
Rockville, MD 20852-3004
Phone 301-770-3334 · Fax 301-770-3336
Mailing address
11400 Rockville PikeSuite 108
Rockville, MD 20852-3004
Phone 301-770-3334 · Fax 301-770-3336
Authorized official
Charles Afam Obioha
Medical Director
3017703334
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