Organization
OPTIMUM MEDICAL GROUP INC.
Active
Organization
OPTIMUM MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLESSING GABRIEL CRNP (CEO)
(443) 537-0012
Entity
Organization
Contact information
Practice address
2028 LIBERTY RD STE 201, ELDERSBURG, MD 21784-6980
(443) 537-0012
Mailing address
2006 STILLWATER RD, ELDERSBURG, MD 21784-6633
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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