Organization
COMMITTED TO CHANGE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA LOWTAN M.D. (MEDICAL DIRECTOR)
(410) 290-8800
Entity
Organization
Contact information
Practice address
500 MEMORIAL AVE, SUITE M-304, CUMBERLAND, MD 21502-3732
(240) 580-1919
(443) 276-6712
Mailing address
500 MEMORIAL AVE, SUITE M-304, CUMBERLAND, MD 21502-3732
(240) 580-1919
(443) 276-6712
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
D0056120
MD
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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