Organization
FOUNDATION MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CHIOMA NWAOGBO (OFFICE MANAGER)
(410) 760-4500
Entity
Organization
Contact information
Practice address
808 LANDMARK DR, SUITE 116, GLEN BURNIE, MD 21061-4983
(410) 760-4500
(410) 761-5035
Mailing address
420 CRAIN HWY S, SUITE 3, GLEN BURNIE, MD 21061-3657
(410) 760-4500
(410) 761-5035
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0063277
MD
Other
Enumeration date
05/26/2014
Last updated
12/20/2016
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