Organization
FAMILY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN W PRIBADI MD (OWNER)
(410) 997-9751
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 111, COLUMBIA, MD 21044-6212
(410) 997-9751
(410) 997-9763
Mailing address
10632 LITTLE PATUXENT PKWY, SUITE 111, COLUMBIA, MD 21044-6212
(410) 997-9751
(410) 997-9763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/28/2007
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