Organization
INGRIDIENTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID C. KOHLSTADT MD, MPH (PRESIDENT)
(410) 858-4989
Entity
Organization
Contact information
Practice address
198 PRINCE GEORGE ST, ANNAPOLIS, MD 21401-1724
(410) 858-4989
Mailing address
198 PRINCE GEORGE ST, ANNAPOLIS, MD 21401-1724
(410) 858-4989
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
D0047779
MD
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
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