# COMPASSIONATE WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMPASSIONATE WELLNESS CENTER, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871088682
- **Legal business name:** COMPASSIONATE WELLNESS CENTER, LLC
- **Authorized official:** DR. IVAN NGANG ZAMA MD (PRESIDENT)
- **Authorized official phone:** (240) 513-6001

## Contact information

- **Practice address:** 44 N POTOMAC ST STE 101&102, HAGERSTOWN, MD 21740-4855
- **Practice address phone:** (240) 513-6001
- **Practice address fax:** (240) 513-6122
- **Mailing address:** 10319 WESTLAKE DR STE 335, BETHESDA, MD 20817-6403
- **Mailing address phone:** (240) 513-6001
- **Mailing address fax:** (240) 513-6122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D70102 | MD | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | D70102 | MD | — |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 06/25/2018