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Organization
QUANTUM REHABILITATION MEDICINE
Active
Organization
QUANTUM REHABILITATION MEDICINE
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORISCINE COLLEY MD (MEDICAL DIRECTOR)
(443) 315-6359
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD STE 211, GLENN DALE, MD 20769-9183
(410) 685-1188
(410) 685-1889
Mailing address
PO BOX 6553, COLUMBIA, MD 21045-6553
(443) 315-6359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
03/28/2020
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