REVITALIZE LLC

ROCKVILLE, MD
NPI1417238015
Doing Business AsOPTIMAL HEALTH PHYSICIANS
Entity TypeOrganization
Authorized ContactNORTON FISHMAN
Medical Director
301-330-9430
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MD  D0050126)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MD  H67624)
Enumeration Date2011-09-09
Last Update Date2011-10-24
Business Address
REVITALIZE LLC
15235 SHADY GROVE RD SUITE 102
ROCKVILLE, MD 20850-3234
Phone number: 301-330-9430
Mailing Address
REVITALIZE LLC
15235 SHADY GROVE RD SUITE 102
ROCKVILLE, MD 20850-3234
Phone number: 301-330-9430