Organization
QUALITY MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE-ALBERTE BOURSIQUOT M.D. (PHYSICIAN)
(410) 964-4508
Entity
Organization
Contact information
Practice address
5450 KNOLL NORTH DR, SUITE 100, COLUMBIA, MD 21045-2373
(410) 964-4508
(410) 964-4578
Mailing address
5450 KNOLL NORTH DR, SUITE 100, COLUMBIA, MD 21045-2373
(410) 964-4508
(410) 964-4578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0051958
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014N
MEDICARE
MD
05
—
913310100
—
MD
01
—
G62516
UPIN
MD
Enumeration date
03/05/2008
Last updated
03/05/2008
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