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Organization

VIVIS FAMILY MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEDWIG MANGA WILLIAMS (PROVIDER)
(240) 605-5215
Entity
Organization

Contact information

Practice address
3606 CHANCELSORS DR, UPPER MARLBORO, MD 20772-8194
(240) 687-4317
(218) 264-3428
Mailing address
3606 CHANCELSORS DR, UPPER MARLBORO, MD 20772-8194
(240) 687-4317
(218) 264-3428

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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