Organization
MMLC URGENT CARE WOUND CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK AMMAAN MAJOR MD (DOCTOR)
(301) 585-1833
Entity
Organization
Contact information
Practice address
1300 SPRING ST, SUITE 122, SILVER SPRING, MD 20910-3616
(304) 585-1833
(301) 448-1202
Mailing address
1300 SPRING ST, SUITE 122, SILVER SPRING, MD 20910-3616
(301) 585-1833
(301) 448-1202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0064592
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032809000
—
MD
01
—
7578010001
MEDICARE PTAN
MD
Enumeration date
11/20/2015
Last updated
06/08/2017
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