Organization
NEUROLOGY CLINIC OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEETAL HARISH WAGLE MD (SOLE OWNER)
(410) 988-4013
Entity
Organization
Contact information
Practice address
10770 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 988-4013
Mailing address
10770 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 988-4013
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0072106
MD
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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