Organization
MEP OBSERVATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHASTAIN (PROVIDER ENROLLMENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
12/18/2024
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