Organization
CVM-PRINCE FREDERICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARUNA THAPAR (DIRECTOR OF BILLING)
(301) 860-0003
Entity
Organization
Contact information
Practice address
301 STEEPLE CHASE DR, SUITE 203, PRINCE FREDERICK, MD 20678-4049
(410) 535-9282
Mailing address
12200 ANNAPOLIS RD, SUITE 225, GLENN DALE, MD 20769-9182
(301) 860-0003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
09/13/2011
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