Organization
MIND -BODY SYNERGY MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTAHIRA BUTT (MANAGER)
(443) 545-1752
Entity
Organization
Contact information
Practice address
7153 RIVERS EDGE ROAD, COLUMBIA, MD 21044
(443) 545-1752
(443) 545-1752
Mailing address
7153 RIVERS EDGE ROAD, COLUMBIA, MD 21044
(443) 545-1752
(443) 545-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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