Organization
JUNIPER HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITUL DAVE MD (DIRECTOR)
(443) 804-4628
Entity
Organization
Contact information
Practice address
1502 FREDERICK RD, CATONSVILLE, MD 21228-5019
(410) 747-3287
(410) 465-3716
Mailing address
9055 CHEVROLET DR STE 103, ELLICOTT CITY, MD 21042-4091
(443) 804-4268
(410) 465-3716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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