Organization
TRIUMPH PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKECHI DIKE (NURSE PRACTITIONER)
(410) 593-7556
Entity
Organization
Contact information
Practice address
413 PULASKI HWY STE 201, JOPPA, MD 21085-3625
(410) 593-7556
(410) 510-7938
Mailing address
413 PULASKI HWY STE 201, JOPPA, MD 21085-3625
(410) 593-7556
(410) 510-7938
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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