Organization
GOSHENI LLC
Active
Other names
GOSHENI HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMSON OLOWE (PRESIDENT)
(301) 221-7553
Entity
Organization
Contact information
Practice address
605 AVIS DR, UPPER MARLBORO, MD 20774-2283
(301) 232-7685
(301) 324-0897
Mailing address
605 AVIS DR, UPPER MARLBORO, MD 20774-2283
(301) 232-7685
(301) 324-0897
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCSA9912127
MD
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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