| Md001co | |
|
10710 Charter Dr Ste 110 Columbia MD 21044-3258 | |
| (410) 992-9797 | |
| Not Available |
| Full Name | Md001co |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 10710 Charter Dr Ste 110, Columbia, Maryland |
| Authorized Official Name and Position | Alan Oliver (CEO) |
| Authorized Official Contact | 7865303820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md001co 10710 Charter Dr Ste 110 Columbia MD 21044-3258 Ph: (410) 992-9797 | Md001co 10710 Charter Dr Ste 110 Columbia MD 21044-3258 Ph: (410) 992-9797 |
| NPI Number | 1548099641 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548099641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (NU) | Primary |
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