Organization
DORCHESTER HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOHN LUSCHINSKI CRNP (OWNER)
(443) 225-6674
Entity
Organization
Contact information
Practice address
100 BRAMBLE ST STE 2, CAMBRIDGE, MD 21613-2471
(443) 255-6674
Mailing address
100 BRAMBLE ST STE 2, CAMBRIDGE, MD 21613-2471
(443) 225-6674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043875719
NPPES
—
01
—
1205447448
NPPES
—
Enumeration date
11/07/2022
Last updated
02/01/2024
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