Organization
KIDNEY CARE CENTER SOUTHERN MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORUFU ALAUSA M.D. (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
23503 HOLLYWOOD ROAD, SUITE 104, LEONARDTOWN, MD 20650-3795
(240) 309-4172
(240) 309-4195
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 741-6830
(815) 741-6832
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
06/01/2017
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