Organization
WELLNESS CENTER AT SHADY GROVE FERTILITY, LLC
Active
Parent organization
SHADY GROVE FERTILITY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHADY GROVE FERTILITY, LLC
Authorized official
SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
(301) 545-1407
Entity
Organization
Contact information
Practice address
9601 BLACKWELL ROAD, SUITE 500, ROCKVILLE, MD 20850-6478
(888) 604-7525
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
(301) 340-1188
(301) 340-1612
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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