Organization
AFFORDABLE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE EMEAGWALI NP (CEO)
(301) 412-7990
Entity
Organization
Contact information
Practice address
6475 NEW HAMPSHIRE AVE, SUITE 430, HYATTSVILLE, MD 20783-3269
(240) 670-8305
(240) 670-8306
Mailing address
6475 NEW HAMPSHIRE AVENUE, SUITE 430, HYATTSVILLE, MD 20783
(240) 670-8305
(240) 670-8306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R134072
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033825600
—
DC
05
—
4227221 00
—
MD
Enumeration date
10/09/2014
Last updated
08/11/2020
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