Organization
MERITUS MEDICAL CENTER INC
Active
Other names
Meritus Diabetes Prevention Program
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 122, HAGERSTOWN, MD 21742-6700
(301) 790-8000
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
07/28/2023
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