Organization
EUCENTRICS URGENT CARE AND WELLNESS CENTER
Active
Organization
EUCENTRICS URGENT CARE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDYL ERIK GESSEL PA-C (PRESIDENT)
(301) 662-6478
Entity
Organization
Contact information
Practice address
1100 W PATRICK ST STE H, FREDERICK, MD 21703-3974
(301) 662-6478
Mailing address
1100 W PATRICK ST STE H, FREDERICK, MD 21703-3974
(301) 662-6478
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
U0213
MD
363AM0700X
Medical Physician Assistant
Primary
C04452
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12236488
CAQH
—
Enumeration date
10/27/2014
Last updated
11/10/2014
Update your record
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