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Organization

MEDICAL MALL SERVICES OF MARYLAND, LLC

Active
Other names
Medical Mall Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES CLAYTON BARDWELL (CHIEF FINANCIAL OFFICER)
(202) 459-4766
Entity
Organization

Contact information

Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(202) 459-4766
Mailing address
8201 CORPORATE DR, SUITE 500, HYATTSVILLE, MD 20785-2230
(202) 459-4766
(877) 852-6352

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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