| Longtchi Group LLC | |
|
14300 Cherry Lane Ct Ste 217 Laurel MD 20707-4990 | |
| (410) 571-4113 | |
| Not Available |
| Full Name | Longtchi Group LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14300 Cherry Lane Ct Ste 217, Laurel, Maryland |
| Authorized Official Name and Position | Gedeon Longtchi (CEO) |
| Authorized Official Contact | 4105714113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longtchi Group LLC 14300 Cherry Lane Ct Ste 217 Laurel MD 20707-4990 Ph: (410) 571-4113 | Longtchi Group LLC 14300 Cherry Lane Ct Ste 217 Laurel MD 20707-4990 Ph: (410) 571-4113 |
| NPI Number | 1104567452 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104567452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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