Civista Clinical Services LLC

NPI #1831417476 in Waldorf, Maryland

Provider Information

NPI Number
1831417476
Entity Type
Organization
Organization Name
Civista Clinical Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CIVISTA MEDICAL CENTER
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
May 6, 2010
Last Updated
Dec 17, 2019

Practice Location

Address
11315 PEMBROOKE SQ STE 111
ZIP Code
20603-4806
Phone
(301) 843-3150

Authorized Official

Name
MRS. IVETTE M MONTES DE OCA
Title
PRACTICE MANAGER
Phone
(301) 843-3150

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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