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Organization
WAVERLY INTERNAL MEDICINE, LLC
Active
Organization
WAVERLY INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDIDI BONIQUE FEINBERG M.D. (PHYSICIAN/OWNER)
(240) 601-6434
Entity
Organization
Contact information
Practice address
11165 STRATFIELD CT, FIRST FLOOR, MARRIOTTSVILLE, MD 21104-1650
(410) 442-8065
(410) 442-8067
Mailing address
11165 STRATFIELD CT, 1ST FLOOR, MARRIOTTSVILLE, MD 21104-1625
(410) 442-8065
(410) 442-8067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
06/07/2010
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