| Advanced Healthcare Center, Llc | |
|
1046 West St Laurel MD 20707-3531 | |
| (301) 490-8383 | |
| (301) 490-9770 |
| Full Name | Advanced Healthcare Center, Llc |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 1046 West St, Laurel, Maryland |
| Authorized Official Name and Position | Naomi Nmi Ihedioha (OWNER/PRESIDENT) |
| Authorized Official Contact | 3014908383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Healthcare Center, Llc 1046 West St Laurel MD 20707-3531 Ph: (301) 490-8383 | Advanced Healthcare Center, Llc 1046 West St Laurel MD 20707-3531 Ph: (301) 490-8383 |
| NPI Number | 1174702237 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174702237 | NPI | - | NPPES |
| 212300200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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