Organization
ADVANCED HEALTHCARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI NMI IHEDIOHA M.D. (OWNER/PRESIDENT)
(301) 490-8383
Entity
Organization
Contact information
Practice address
1046 WEST ST, LAUREL, MD 20707-3531
(301) 490-8383
(301) 490-9770
Mailing address
1046 WEST ST, LAUREL, MD 20707-3531
(301) 490-8383
(301) 490-9770
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212300200
—
MD
Enumeration date
10/25/2007
Last updated
07/25/2012
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