Organization
MARYLAND IVF FERTILITY HEALTH & WELLNESS CENTER
Active
Other names
MARYLAND IVF
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA P BROOMFIELD M.D. (MEDICAL DIRECTOR)
(410) 964-2229
Entity
Organization
Contact information
Practice address
11055 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2896
(410) 964-2229
(410) 964-0009
Mailing address
9250 BENDIX RD, COLUMBIA, MD 21045-1832
(410) 964-2229
(410) 964-0009
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
MD034987
DC
261QM2500X
Medical Specialty Clinic/Center
0101234644
VA
261QM2500X
Medical Specialty Clinic/Center
Primary
D0060312
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114403690265
NPI
MD
Enumeration date
02/03/2010
Last updated
02/03/2010
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