PREMISE HEALTH OF MARYLAND MEDICAL P C

GAITHERSBURG, MD
NPI1649543513
Doing Business AsAZ HEALTH & WELLNESS CENTER
Entity TypeOrganization
Authorized ContactJAMES M THIEL
President
844-407-7557
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2012-02-22
Last Update Date2020-05-20
Business Address
PREMISE HEALTH OF MARYLAND MEDICAL P C
1 MEDIMMUNE WAY
GAITHERSBURG, MD 20878
Phone number: 301-398-6893
Mailing Address
PREMISE HEALTH OF MARYLAND MEDICAL P C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: