Organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Active
Parent organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Authorized official
MATHIAS C BAMA MD (OWNER)
(301) 483-3333
Entity
Organization
Contact information
Practice address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
(301) 483-3336
Mailing address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
(301) 483-3336
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
03/10/2022
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