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Organization

MERITUS MEDICAL CENTER INC

Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
Meritus Radiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERITUS MEDICAL CENTER INC
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization

Contact information

Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 790-8000
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
04/10/2024
Last updated
04/10/2024
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