Organization
LIVE LITE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITU T BHAMBHANI (OWNER)
(443) 857-1416
Entity
Organization
Contact information
Practice address
100 WALTER WARD BLVD, SUITE 300, ABINGDON, MD 21009-1284
(410) 569-3333
Mailing address
100 WALTER WARD BLVD, SUITE 300, ABINGDON, MD 21009-1284
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
08/02/2016
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