Organization
ALLY INFUSION, LLC
Active
Parent organization
ALLY INFUSION, LLC
Other names
Charles County Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLY INFUSION, LLC
Authorized official
ROCHE WATSON CRNP (PRACTICE OWNER)
(301) 870-7287
Entity
Organization
Contact information
Practice address
11637 TERRACE DR STE 100, WALDORF, MD 20602-3707
(301) 870-7287
Mailing address
11637 TERRACE DR STE 100, WALDORF, MD 20602-3707
(301) 870-7287
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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