# JUNIPER HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346608171
- **Authorized official:** DR. MITUL DAVE MD (DIRECTOR)
- **Authorized official phone:** (443) 804-4628

## Contact information

- **Practice address:** 1502 FREDERICK RD, CATONSVILLE, MD 21228-5019
- **Practice address phone:** (410) 747-3287
- **Practice address fax:** (410) 465-3716
- **Mailing address:** 9055 CHEVROLET DR STE 103, ELLICOTT CITY, MD 21042-4091
- **Mailing address phone:** (443) 804-4268
- **Mailing address fax:** (410) 465-3716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 02/08/2016