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Organization
ATLAS HEALTH, LLC
Active
Organization
ATLAS HEALTH, LLC
Active
Other names
CloseKnit
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE FAVAZZA (CEO)
(410) 528-7109
Entity
Organization
Contact information
Practice address
1101 K ST NW FL 10, WASHINGTON, DC 20005-4210
(866) 233-6925
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 233-6925
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
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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