Organization
JULIAN CENTER FOR OPTIMUM HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE ANTHONY SAMBATARO DDS (OWNER)
(410) 964-3118
Entity
Organization
Contact information
Practice address
5010 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7858
(410) 964-3118
(410) 964-3154
Mailing address
5010 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7858
(410) 964-3118
(410) 964-3154
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
07296
MD
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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