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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