Organization
QUEEN CITY OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDYE C VANBRAKLE M.D. (OWNER)
(301) 722-2050
Entity
Organization
Contact information
Practice address
625 KENT AVE, SUITE 201, CUMBERLAND, MD 21502-3794
(301) 722-2050
(301) 722-2072
Mailing address
625 KENT AVE, SUITE 201, CUMBERLAND, MD 21502-3794
(301) 722-2050
(301) 722-2072
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D41403
MD
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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