75TH STREET MEDICAL PA

OCEAN CITY, MD
NPI1467453266
Entity TypeOrganization
Authorized ContactVICTOR GONG
Medical Director
410-524-0075
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D0032615)
Enumeration Date2005-08-03
Last Update Date2008-11-04
Business Address
75TH STREET MEDICAL PA
7408 COASTAL HWY
OCEAN CITY, MD 21842-2936
Phone number: 410-524-0075
Mailing Address
75TH STREET MEDICAL PA
7408 COASTAL HWY
OCEAN CITY, MD 21842-2936
Phone number: 410-524-0075
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