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Eze Family Health Center, Inc.
Medical Physician Assistant in Waldorf, Maryland
NPI 1871874859

Eze Family Health Center, Inc. is a Medical Physician Assistant based in Waldorf, MD and is specialized in Medical. Eze Family Health Center, Inc. practices in Waldorf, MD. The NPI Number for Eze Family Health Center, Inc. is 1871874859 and holds a License No. D69441 (Maryland).

The current practice location address for Eze Family Health Center, Inc. is 11750 Business Park Dr, Waldorf, MD and can be reached out via phone at 301-323-3921 and via fax at 888-519-5179.

Location: 11750 Business Park Dr, Waldorf, MD, 20601-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871874859
Provider Name
Eze Family Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
11750 Business Park Dr, Waldorf, MD, 20601-2907
Phone Number
301-323-3921
Fax Number
888-519-5179
Provider Enumeration Date
09/02/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003032855 01 MD NPPES (NPI)
institution
Provider Business Practice Location Address Details
Address
11750 Business Park Dr
City
Waldorf
State
Maryland
Zip
20601-2907
Phone Number
301-323-3921
Fax Number
888-519-5179
person
Provider Business Mailing Address Details
Address
11750 Business Park Dr
City
Waldorf
State
Maryland
Zip
20601-2907
Phone Number
301-323-3921
Fax Number
888-519-5179
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
D0037088 (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).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
D69441 (Maryland)
Definition
Definition to come...
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