ICON CLINIC LLC

CHEVERLY, MD
NPI1245808666
Entity TypeOrganization
Authorized ContactTHICKNESS PATRICK EGWUATU
Provider/CEO
202-288-7752
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2021-06-13
Last Update Date2021-08-09
Business Address
ICON CLINIC LLC
6128 LANDOVER RD
CHEVERLY, MD 20785-1016
Phone number: 202-288-7752
Mailing Address
ICON CLINIC LLC
10604 WOOD POINTE CT
GLENN DALE, MD 20769-2112
Phone number: 202-288-7752