| Fivemed | |
|
724 Maiden Choice Ln Ste 304 Catonsville MD 21228-5967 | |
| (410) 216-0206 | |
| (443) 440-5516 |
| Full Name | Fivemed |
|---|---|
| Speciality | Internal Medicine |
| Location | 724 Maiden Choice Ln Ste 304, Catonsville, Maryland |
| Authorized Official Name and Position | Atemkeng Curtis Fomengia (CEO) |
| Authorized Official Contact | 3012543987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fivemed 2614 28th St Ne Washington DC 20018-1415 | Fivemed 724 Maiden Choice Ln Ste 304 Catonsville MD 21228-5967 Ph: (410) 216-0206 |
| NPI Number | 1346848710 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346848710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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