Override | |
9542 Quarry Bridge Ct Columbia MD 21046-1917 | |
(646) 598-8338 | |
Not Available |
Full Name | Override |
---|---|
Speciality | Clinic/Center |
Location | 9542 Quarry Bridge Ct, Columbia, Maryland |
Authorized Official Name and Position | David Shulkin (PRESIDENT) |
Authorized Official Contact | 6104530362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Override 944 Merion Square Rd Gladwyne PA 19035-1510 Ph: () - | Override 9542 Quarry Bridge Ct Columbia MD 21046-1917 Ph: (646) 598-8338 |
NPI Number | 1942923123 |
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Provider Enumeration Date | 09/22/2022 |
Last Update Date | 06/27/2023 |
Medicare PECOS PAC ID | 0446605422 |
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Medicare Enrollment ID | O20231011001319 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942923123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Marissa Cohler |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1427379155 PECOS PAC ID: 1355562497 Enrollment ID: I20141015000440 |
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