Immutech-Midatlantic, LLC
NPI #1740874627 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1740874627
- Entity Type
- Organization
- Organization Name
- Immutech-Midatlantic, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 22, 2021
- Last Updated
- Jul 21, 2021
Practice Location
- Address
- 1940 WINDER RD
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-1729
- Phone
- (410) 215-2596
Authorized Official
- Name
- ROBIN BUCKNER
- Title
- CEO
- Phone
- (410) 215-2596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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