Prohealth Primary Care LLC

NPI #1982962692 in Aberdeen, Maryland

Provider Information

NPI Number: 1982962692
Entity Type: Organization
Organization Name: Prohealth Primary Care LLC
Primary Specialty: Pediatrics
Enumeration Date: May 1, 2012
Last Updated: May 1, 2012

Practice Location

Address: 115 W BEL AIR AVE
City: Aberdeen
State: Maryland
ZIP Code: 21001-3221
Phone: (410) 272-3377

Authorized Official

Name: DR. NATHANIEL SUMILANG, M.D.
Title: PHYSICIAN/OWNER
Phone: (410) 272-3377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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