Organization
MERITUS MEDICAL CENTER INC
Active
Parent organization
MERITUS MEDICAL CENTER INC
Other names
MERITUS GYNECOLOGIC ONCOLOGY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERITUS MEDICAL CENTER INC
Authorized official
MR. THOMAS CHAN (CFO)
(301) 790-8102
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 243A, HAGERSTOWN, MD 21742-6700
(301) 665-4640
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
07/23/2015
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