Hydrxafuse, LLC

NPI #1417418724 in Annapolis, Maryland

Provider Information

NPI Number: 1417418724
Entity Type: Organization
Organization Name: Hydrxafuse, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 28, 2019
Last Updated: May 13, 2019

Practice Location

Address: 49 OLD SOLOMONS ISLAND RD STE 104
City: Annapolis
State: Maryland
ZIP Code: 21401-3861
Phone: (443) 699-0321

Authorized Official

Name: DR. TOWANNA FONTENOT, MD
Title: MEDICAL DIRECTOR/PHYSICIAN
Phone: (443) 699-0321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Infusion Therapy — Infusion Therapy	261QI0500X
Internal Medicine	207R00000X	Primary

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