Organization
ROSEU MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UZOCHUKWU WILFRED UNEGBU M.D. (CEO/MEDICAL DIRECTOR)
(301) 604-8000
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD STE 390, LAUREL, MD 20707-5231
(301) 604-8000
(301) 604-4406
Mailing address
7350 VAN DUSEN RD STE 390, LAUREL, MD 20707-5231
(301) 604-8000
(301) 604-4406
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
D71264
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057160
—
MD
Enumeration date
11/19/2011
Last updated
05/15/2020
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