Organization
EXPRESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZIBEH QURESHI MD (OWNER)
(410) 650-4121
Entity
Organization
Contact information
Practice address
724 MAIDEN CHOICE LN STE 201, CATONSVILLE, MD 21228-5962
(410) 650-4121
(866) 948-8535
Mailing address
11321 MEGAN LYNN CT, MARRIOTTSVILLE, MD 21104-1658
(410) 650-4121
(266) 948-8535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
09/20/2021
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