Organization
EZE FAMILY HEALTH CENTER, INC.
Active
Organization
EZE FAMILY HEALTH CENTER, INC.
Active
Other names
Eze Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYERE EZE PA-C (MEDICAL PRACTITIONER / CEO)
(301) 323-3921
Entity
Organization
Contact information
Practice address
11750 BUSINESS PARK DR, SUITE 103, WALDORF, MD 20601-2907
(301) 323-3921
(888) 519-5179
Mailing address
11750 BUSINESS PARK DR, SUITE 103, WALDORF, MD 20601-2907
(301) 323-3921
(888) 519-5179
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
D0037088
MD
261Q00000X
Clinic/Center
Primary
D69441
MD
363AM0700X
Medical Physician Assistant
C0004111
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003032855
NPPES (NPI)
MD
Enumeration date
09/02/2011
Last updated
10/20/2011
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