Organization
ERC LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL CUYUGAN (OWNER)
(443) 525-9196
Entity
Organization
Contact information
Practice address
151 CRIMSON AVE, TANEYTOWN, MD 21787-2197
(725) 502-1061
Mailing address
151 CRIMSON AVE, TANEYTOWN, MD 21787-2197
(443) 525-9196
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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