Organization
UPLIFT MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARYL MATTHEW (DIR. OF OPERATIONS)
(301) 423-4553
Entity
Organization
Contact information
Practice address
4333 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-1848
(301) 423-4551
(301) 423-4553
Mailing address
3710 RIVIERA ST STE 2C, TEMPLE HILLS, MD 20748-1719
(301) 423-4551
(301) 423-4553
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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