Organization
ULTICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD APOLLON M.D. (MEDICAL DIRECTOR)
(443) 604-0568
Entity
Organization
Contact information
Practice address
11901 EVENING CT, CLARKSVILLE, MD 21029-1252
(443) 604-0568
(443) 535-9704
Mailing address
11901 EVENING CT, CLARKSVILLE, MD 21029-1252
(443) 604-0568
(443) 535-9704
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
MD
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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