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Envisioncare Medical Associates, Llc
Clinic/Center in Upper Marlboro, Maryland
NPI 1578729331

Envisioncare Medical Associates, Llc is a Clinic/Center based in Largo, MD. Envisioncare Medical Associates, Llc practices in Upper Marlboro, MD. The NPI Number for Envisioncare Medical Associates, Llc is 1578729331 and holds a License No. NP117688 (Maryland).

The current practice location address for Envisioncare Medical Associates, Llc is 10507 Montana Ter, Upper Marlboro, MD and can be reached out via phone at 301-237-7383 and via fax at 301-322-9555. You can also correspond with Envisioncare Medical Associates, Llc through the mailing address at 1400 MERCANTILE LN, LARGO, MD - 20774-5341 (mailing address contact number: 301-322-9292).

Location: 10507 Montana Ter, Upper Marlboro, MD, 20774-5341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578729331
Provider Name
Envisioncare Medical Associates, Llc
Credential
Provider Entity Type
Organization
Address
10507 Montana Ter, Upper Marlboro, MD, 20774-5341
Phone Number
301-237-7383
Fax Number
301-322-9555
Provider Enumeration Date
07/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770745184 01 MD NPI-CMS
institution
Provider Business Practice Location Address Details
Address
10507 Montana Ter
City
Upper Marlboro
State
Maryland
Zip
20774-6034
Phone Number
301-237-7383
Fax Number
301-322-9555
person
Provider Business Mailing Address Details
Address
1400 Mercantile Ln
City
Largo
State
Maryland
Zip
20774-5341
Phone Number
301-322-9292
Fax Number
301-322-9555
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
NP117688 (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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