Primary Care at Home of Maryland, LLC

NPI #1326497421 in Baltimore, Maryland

Provider Information

NPI Number
1326497421
Entity Type
Organization
Organization Name
Primary Care at Home of Maryland, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 9, 2016
Last Updated
Jun 9, 2016

Practice Location

Address
4701 MOUNT HOPE DR
Address 2
SUITE A
ZIP Code
21215-3246
Phone
(337) 233-1307

Authorized Official

Name
DONALD D. STELLY
Title
PRESIDENT
Phone
(337) 233-1307

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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