Organization
NICOLE GANZ DC, CHIROPRACTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GANZ D.C. (OWNER)
(301) 929-8301
Entity
Organization
Contact information
Practice address
10400 CONNECTICUT AVE, SUITE 314, KENSINGTON, MD 20895-3910
(301) 929-8301
(301) 929-8302
Mailing address
10400 CONNECTICUT AVE, SUITE 314, KENSINGTON, MD 20895-3910
(301) 929-8301
(301) 929-8302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01894
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M628
CAREFIRST
MD
01
—
S221 0001
CAREFIRST
MD
Enumeration date
04/02/2007
Last updated
10/08/2008
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