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Ellicott City Primary Care Llc
Primary Care Clinic/Center in Ellicott City, Maryland
NPI 1720661812

Ellicott City Primary Care Llc is a Primary Care Clinic/Center based in Ellicott City, MD and is specialized in Primary Care. Ellicott City Primary Care Llc practices in Ellicott City, MD. The NPI Number for Ellicott City Primary Care Llc is 1720661812 and holds a License No. (Maryland).

The current practice location address for Ellicott City Primary Care Llc is 9055 Chevrolet Dr Ste 100, Ellicott City, MD and can be reached out via phone at 410-862-8860 and via fax at 410-988-5095.

Location: 9055 Chevrolet Dr Ste 100, Ellicott City, MD, 21042-4091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720661812
Provider Name
Ellicott City Primary Care Llc
Credential
Provider Entity Type
Organization
Address
9055 Chevrolet Dr Ste 100, Ellicott City, MD, 21042-4091
Phone Number
410-862-8860
Fax Number
410-988-5095
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9055 Chevrolet Dr Ste 100
City
Ellicott City
State
Maryland
Zip
21042-4091
Phone Number
410-862-8860
Fax Number
410-988-5095
person
Provider Business Mailing Address Details
Address
9055 Chevrolet Dr Ste 100
City
Ellicott City
State
Maryland
Zip
21042-4091
Phone Number
410-862-8860
Fax Number
410-988-5095
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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