institution
South Mountain Family Practice Llc
Clinic/Center in Boonsboro, Maryland
NPI 1487844593

South Mountain Family Practice Llc is a Clinic/Center based in Boonsboro, MD. South Mountain Family Practice Llc practices in Boonsboro, MD. The NPI Number for South Mountain Family Practice Llc is 1487844593 and holds a License No. D0056826 (Maryland).

The current practice location address for South Mountain Family Practice Llc is 9 Saint Paul St, Boonsboro, MD and can be reached out via phone at 301-432-0623 and via fax at 301-432-0624.

Location: 9 Saint Paul St, Boonsboro, MD, 21713-1334
institution
Provider Profile Details
NPI Number
1487844593
Provider Name
South Mountain Family Practice Llc
Credential
Provider Entity Type
Organization
Address
9 Saint Paul St, Boonsboro, MD, 21713-1334
Phone Number
301-432-0623
Fax Number
301-432-0624
Provider Enumeration Date
07/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
864001700 05 MD
institution
Provider Business Practice Location Address Details
Address
9 Saint Paul St
City
State
Zip
21713-1334
Phone Number
301-432-0623
Fax Number
301-432-0624
person
Provider Business Mailing Address Details
Address
9 Saint Paul St
City
State
Zip
21713-1334
Phone Number
301-432-0623
Fax Number
301-432-0624
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
D0056826 (Maryland)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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