Organization
ADVANCED TOTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINHO AHN (EMPLOYEE)
(213) 219-1915
Entity
Organization
Contact information
Practice address
8305 LIBERTY RD, BALTIMORE, MD 21244-3125
(410) 922-4341
Mailing address
8305 LIBERTY RD, BALTIMORE, MD 21244-3125
(410) 922-4341
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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