| Preventmd | |
|
7800 Central Ave Hyattsville MD 20785-4807 | |
| (410) 804-7200 | |
| (301) 218-7916 |
| Full Name | Preventmd |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7800 Central Ave, Hyattsville, Maryland |
| Authorized Official Name and Position | Rita Delores Wutoh (OWNER) |
| Authorized Official Contact | 4108047200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventmd 7800 Central Ave Hyattsville MD 20785-4807 Ph: (410) 804-7200 | Preventmd 7800 Central Ave Hyattsville MD 20785-4807 Ph: (410) 804-7200 |
| NPI Number | 1578150348 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578150348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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