Organization
INTEGRATED MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE NGUH NP (OWNER)
(240) 260-3827
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(240) 260-3827
(240) 260-3830
Mailing address
3613 CELESTE BRUCE CIR, BOWIE, MD 20721-2287
(240) 260-3827
(240) 260-3830
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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