Organization
EDEN HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY LEE (AUTHORIZED OFFICIAL)
(240) 203-8881
Entity
Organization
Contact information
Practice address
481 N FREDERICK AVE STE 103, GAITHERSBURG, MD 20877-2470
(240) 203-8881
Mailing address
481 N FREDERICK AVE STE 103, GAITHERSBURG, MD 20877-2470
(240) 203-8881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
06/27/2023
Last updated
08/13/2025
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