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Organization

YOUR TIME MEDICAL, PC

Active
Other names
OT Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
IMMIRNE MONET OUWINGA MD (PHYSICIAN)
(718) 791-2223
Entity
Organization

Contact information

Practice address
10339 SOUTHERN MARYLAND BLVD STE 206, DUNKIRK, MD 20754-3018
(443) 646-3532
(404) 480-3984
Mailing address
3307 FERRY LANDING RD, DUNKIRK, MD 20754-9647
(718) 791-2223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0078131
MD
2084P0800X
Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
424573300
MD
Enumeration date
05/18/2016
Last updated
04/23/2018
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