Organization
COMPASSIONATE WELLNESS CENTER, LLC
Active
Parent organization
COMPASSIONATE WELLNESS CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPASSIONATE WELLNESS CENTER, LLC
Authorized official
DR. IVAN NGANG ZAMA MD (PRESIDENT)
(240) 513-6001
Entity
Organization
Contact information
Practice address
44 N POTOMAC ST STE 101&102, HAGERSTOWN, MD 21740-4855
(240) 513-6001
(240) 513-6122
Mailing address
10319 WESTLAKE DR STE 335, BETHESDA, MD 20817-6403
(240) 513-6001
(240) 513-6122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D70102
MD
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
D70102
MD
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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