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Organization
MOTSEN LLC
Active
Organization
MOTSEN LLC
Active
Other names
Buckley's Renewal Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MUSEMBI (GENERAL MANAGER)
(301) 657-3033
Entity
Organization
Contact information
Practice address
4641 MONTGOMERY AVE STE 10, BETHESDA, MD 20814-3590
(301) 657-3033
(240) 408-7887
Mailing address
4641 MONTGOMERY AVE, SUITE 10 LOWER LEVEL, BETHESDA, MD 20814-3488
(301) 657-3033
(301) 657-1121
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
1538477971
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
03/06/2014
Last updated
11/18/2020
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