Organization
PURPOSE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HALSEY (ADMINISTRATOR)
(443) 553-0057
Entity
Organization
Contact information
Practice address
101 CHESAPEAKE BLVD, ELKTON, MD 21921-6607
(410) 398-0590
(443) 240-3838
Mailing address
101 CHESAPEAKE BLVD, ELKTON, MD 21921-6607
(410) 398-0590
(443) 240-3838
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043323827
—
MD
Enumeration date
06/19/2020
Last updated
06/19/2020
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