Organization
MARYLAND IVF HEALTH & WELLNESS CENTER
Active
Other names
Maryland IVF
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA P BROOMFIELD M.D. (MEDICAL DIRECTOR)
(410) 964-2229
Entity
Organization
Contact information
Practice address
9250 BENDIX ROAD NORTH, COLUMBIA, MD 21045-1832
(410) 964-2229
(410) 964-0009
Mailing address
9250 BENDIX ROAD NORTH, COLUMBIA, MD 21045-1832
(410) 964-2229
(410) 964-0009
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D0060312
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI- 1144 036 902 65
NPI
MD
Enumeration date
11/11/2009
Last updated
11/11/2009
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