| Immunity Care LLC | |
|
750 Main St Fl 2 Reisterstown MD 21136-2515 | |
| (410) 297-1601 | |
| (443) 285-0787 |
| Full Name | Immunity Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 750 Main St Fl 2, Reisterstown, Maryland |
| Authorized Official Name and Position | Monaa Walton (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4439369138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immunity Care LLC 750 Main St Fl 2 Reisterstown MD 21136-2515 Ph: (410) 297-1601 | Immunity Care LLC 750 Main St Fl 2 Reisterstown MD 21136-2515 Ph: (410) 297-1601 |
| NPI Number | 1578383626 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578383626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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