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Organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Active
Organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS C BAMA MD (OWNER)
(301) 483-3333
Entity
Organization
Contact information
Practice address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
(301) 483-3336
Mailing address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
(301) 483-3336
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/22/2022
Last updated
04/06/2023
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