| Supportive Care Of Maryland Llc | |
|
1 Price Dr Elkton MD 21921-6731 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Supportive Care Of Maryland Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1 Price Dr, Elkton, Maryland |
| Authorized Official Name and Position | Raphael Lichtschein (PRESIDENT) |
| Authorized Official Contact | 7185061115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Of Maryland Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care Of Maryland Llc 1 Price Dr Elkton MD 21921-6731 Ph: (718) 298-4375 |
| NPI Number | 1750970232 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750970232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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