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Organization
WELLSPRING REALTY CORP
Active
Organization
WELLSPRING REALTY CORP
Active
Other names
Wellspring ASC
Organization subpart
No
Provider details
NPI number
Authorized official
NKIRUKA U ARENE MD (OWNER/MEDICAL DIRECTOR)
(443) 977-9180
Entity
Organization
Contact information
Practice address
2012 S TOLLGATE RD STE 208, BEL AIR, MD 21015-5902
(443) 371-9750
(443) 371-9751
Mailing address
2000 GEORGEANNA CT, JARRETTSVILLE, MD 21084-1833
(443) 977-9180
(443) 371-9751
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/28/2022
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