Organization
PREVENTIVE CARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR HERRY M.D. (CEO)
(301) 868-7333
Entity
Organization
Contact information
Practice address
204 MEDICAL CENTER DR, GRASONVILLE, MD 21638-1400
(410) 827-8117
Mailing address
204 MEDICAL CENTER DR, GRASONVILLE, MD 21638-1400
(410) 827-8117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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