Organization
MEDVENOUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALINE FRASER MD (PHYSICIAN)
(301) 392-7176
Entity
Organization
Contact information
Practice address
4200 FORBES BLVD STE 209, LANHAM, MD 20706-4829
(301) 392-7176
Mailing address
4200 FORBES BLVD STE 209, LANHAM, MD 20706-4829
(301) 392-7176
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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