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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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