| OT Family Medicine | |
|
10339 Southern Maryland Blvd Ste 206 Dunkirk MD 20754-3018 | |
| (443) 646-3532 | |
| (404) 480-3984 |
| Full Name | OT Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 10339 Southern Maryland Blvd Ste 206, Dunkirk, Maryland |
| Authorized Official Name and Position | Immirne Monet Ouwinga (PHYSICIAN) |
| Authorized Official Contact | 7187912223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| OT Family Medicine 3307 Ferry Landing Rd Dunkirk MD 20754-9647 Ph: (718) 791-2223 | OT Family Medicine 10339 Southern Maryland Blvd Ste 206 Dunkirk MD 20754-3018 Ph: (443) 646-3532 |
| NPI Number | 1861849051 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 04/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861849051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0078131 (Maryland) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
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