Organization
CHROLOMA HEALTHSYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMATUS NAMBAI (DIRECTOR)
(301) 523-1378
Entity
Organization
Contact information
Practice address
4717 EIDERDOWN CT, OWINGS MILLS, MD 21117-6212
(301) 523-1378
Mailing address
4717 EIDERDOWN CT, OWINGS MILLS, MD 21117-6212
(301) 523-1378
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
R3033
MD
Other
Enumeration date
05/20/2011
Last updated
08/03/2012
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