Waverly Internal Medicine, LLC
NPI #1194966648 in Marriottsville, Maryland
Provider Information
- NPI Number
- 1194966648
- Entity Type
- Organization
- Organization Name
- Waverly Internal Medicine, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 13, 2009
- Last Updated
- Jun 7, 2010
Practice Location
- Address
- 11165 STRATFIELD CT
- Address 2
- FIRST FLOOR
- City
- Marriottsville
- State
- Maryland
- ZIP Code
- 21104-1650
- Phone
- (410) 442-8065
Authorized Official
- Name
- DR. NDIDI BONIQUE FEINBERG, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (240) 601-6434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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