Premium Medical LLC
NPI #1861282428 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1861282428
- Entity Type
- Organization
- Organization Name
- Premium Medical LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 7, 2025
- Last Updated
- May 7, 2025
Practice Location
- Address
- 85 MAIN ST STE 4A
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136-1225
- Phone
- (443) 722-0793
Authorized Official
- Name
- CHUKWUDOZIE MOCHAA-UCHEFUNA
- Title
- OWNER
- Phone
- (443) 722-0793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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