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Organization

IMMEDIATE CARE MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA C NWAOGBO (OFFICE MANAGER)
(410) 833-5000
Entity
Organization

Contact information

Practice address
11722 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3302
(410) 833-5000
(410) 833-1433
Mailing address
11722 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3302
(410) 833-5000
(410) 833-1433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
10/24/2006
Last updated
07/08/2014
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