75th Street Injury & Illness Center LLC

NPI #1245740109 in Ocean City, Maryland

Provider Information

NPI Number: 1245740109
Entity Type: Organization
Organization Name: 75th Street Injury & Illness Center LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 5, 2017
Last Updated: Oct 5, 2017

Practice Location

Address: 7408 COASTAL HWY
City: Ocean City
State: Maryland
ZIP Code: 21842-2936
Phone: (410) 524-0075

Authorized Official

Name: CYNTHIA W RANDOLPH, PA-C
Title: ADMINISTRATOR
Phone: (410) 524-0075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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