Organization
I C CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE HERBERT BONE M.D. (OWNER)
(301) 773-9700
Entity
Organization
Contact information
Practice address
1100 MERCANTILE LN, SUITE #135, LARGO, MD 20774-5380
(301) 773-9700
(301) 773-4900
Mailing address
1100 MERCANTILE LN, SUITE #135, LARGO, MD 20774-5380
(301) 773-9700
(301) 773-4900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D31069
MD
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409341100
—
MD
Enumeration date
07/19/2006
Last updated
10/25/2011
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