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Organization

WESTERN MARYLAND HEALTH SYSTEM CORPORATION

Active
Parent organization
WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Other names
Diabetic Outpatient Counseling
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Authorized official
KIMBERLY S REPAC (SR. VP/CFO)
(240) 964-8342
Entity
Organization

Contact information

Practice address
12502 WILLOWBROOK RD, SUITE 300, CUMBERLAND, MD 21502-6491
(240) 964-8342
(240) 964-8337
Mailing address
12500 WILLOWBROOK RD, 3RD FLOOR, BUSINESS OFFICE, CUMBERLAND, MD 21502-6393
(240) 964-8342
(240) 964-8337

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01-007
MD

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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