Organization · NPI-2

.Benjamin Avrunin, M.D.,p.A.

Clinic/Center, Medical Specialty · Olney, MD

NPI number1992959480
StatusActive
Last updated in NPPESNov 10, 2008

Details

NPI
1992959480
Entity type
Organization (NPI-2)
Legal business name
.Benjamin Avrunin, M.D.,p.A.
Organization subpart
No
Enumeration date
Nov 10, 2008
Last updated
Nov 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical SpecialtyDO8381MDYes

Practice location

18111 Prince Philip Dr
Olney, MD 20832-1513

Phone 301-774-1883 · Fax 301-774-9537

Mailing address

18111 Prince Philip Dr
Olney, MD 20832-1513

Phone 301-774-1883 · Fax 301-774-9537

Authorized official

Benjamin Avrunin
President
3017741883

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