| Menocal Medical Services Pa | |
|
13204 Fountain Head Plz Hagerstown MD 21742-2678 | |
| (240) 730-2600 | |
| Not Available |
| Full Name | Menocal Medical Services Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 13204 Fountain Head Plz, Hagerstown, Maryland |
| Authorized Official Name and Position | Julio J Menocal (OWNER) |
| Authorized Official Contact | 2402151138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menocal Medical Services Pa 1050 Key Pkwy Ste 102 Frederick MD 21702-4496 Ph: (240) 215-1138 | Menocal Medical Services Pa 13204 Fountain Head Plz Hagerstown MD 21742-2678 Ph: (240) 730-2600 |
| NPI Number | 1679367247 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679367247 | NPI | - | NPPES |
| 532403300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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