# INTEGRATED MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1609647577
- **Authorized official:** FLORENCE NGUH NP (OWNER)
- **Authorized official phone:** (240) 260-3827

## Contact information

- **Practice address:** 7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
- **Practice address phone:** (240) 260-3827
- **Practice address fax:** (240) 260-3830
- **Mailing address:** 3613 CELESTE BRUCE CIR, BOWIE, MD 20721-2287
- **Mailing address phone:** (240) 260-3827
- **Mailing address fax:** (240) 260-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 01/10/2024