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Organization

PRIMARY HEALTH & WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITUL DAVE MD (PRESIDENT)
(410) 465-7850
Entity
Organization

Contact information

Practice address
9055 CHEVROLET DR, SUITE 103, ELLICOTT CITY, MD 21042-4016
(410) 465-7850
(410) 465-3716
Mailing address
9055 CHEVROLET DR, SUITE 103, ELLICOTT CITY, MD 21042-4016
(410) 465-7850
(410) 465-3716

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0057313
MD

Other

Enumeration date
12/29/2008
Last updated
01/27/2010
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