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1023835196
HERITAGE MEDICAL PROVIDERS
UPPER MARLBORO, MD
NPI
1023835196
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Entity Type
Organization
Authorized Contact
AYAH TANIFORM
Owner
817-608-7454
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
HERITAGE MEDICAL PROVIDERS
10600 MELWOOD CHAPEL LN
UPPER MARLBORO, MD 20772-2960
Phone number: 817-608-7454
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Mailing Address
HERITAGE MEDICAL PROVIDERS
10600 MELWOOD CHAPEL LN
UPPER MARLBORO, MD 20772-2960
Phone number: 817-608-7454
Copy
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