Organization
PARK PLACE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL O OBIADI (DIRECTOR)
(301) 776-6121
Entity
Organization
Contact information
Practice address
601 7TH ST, SUITE 204, LAUREL, MD 20707-4003
(301) 776-6121
(301) 776-3860
Mailing address
601 7TH ST, SUITE 204, LAUREL, MD 20707-4003
(301) 776-6121
(301) 776-3860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/23/2012
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