Organization
NEUROLOGY CLINIC OF MARYLAND, INC.
Active
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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