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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. You can also correspond with South Mountain Family Practice Llc through the mailing address at 9 SAINT PAUL ST, BOONSBORO, MD - 21713-1334 (mailing address contact number: 301-432-0623).

Location: 9 Saint Paul St, Boonsboro, MD, 21713-1334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Boonsboro
State
Maryland
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
Boonsboro
State
Maryland
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
261Q00000X
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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