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Organization
IMMEDIATE CARE MEDICAL CENTER
Active
Organization
IMMEDIATE CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA C NWAOGBO (OFFICE MANAGER)
(410) 760-4500
Entity
Organization
Contact information
Practice address
7010 RITCHIE HWY, GLEN BURNIE, MD 21061-2902
(410) 760-4500
(410) 761-5035
Mailing address
7010 RITCHIE HWY, GLEN BURNIE, MD 21061-2902
(410) 760-4500
(410) 761-5035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/24/2006
Last updated
07/08/2014
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