Organization
MONTGOMERY GENERAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAVRILLA (VICE PRESIDENT/CFO)
(301) 774-8770
Entity
Organization
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Mailing address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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