Organization
MERITUS MEDICAL CENTER INC
Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
MERITUS CENTER FOR BARIATRIC SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERITUS MEDICAL CENTER INC
Authorized official
MR. JOSHUA REPAC (CHIEF FINANCIAL OFFICER)
(301) 790-9351
Entity
Organization
Contact information
Practice address
1110 PROFESSIONAL CT, SUITE 201, HAGERSTOWN, MD 21740-5826
(301) 714-4432
(301) 714-4343
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02005
MD
Other
Enumeration date
09/24/2010
Last updated
10/26/2022
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