Organization
GILEAD MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE C OSUALA MD (MEDICAL DIRECTOR)
(301) 577-9111
Entity
Organization
Contact information
Practice address
9470 ANNAPOLIS RD STE 117, LANHAM, MD 20706-3031
(301) 577-9111
(301) 577-9199
Mailing address
9470 ANNAPOLIS RD STE 117, LANHAM, MD 20706-3031
(301) 577-9111
(301) 577-9199
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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