IMMACULATE MEDICAL SERVICES LLC

WASHINGTON, DC
NPI1821301904
Entity TypeOrganization
Authorized ContactANN MARIE GORDON
CEO
202-877-0400
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
(Licence: DC  MD22148)
Additional Taxonomies261QX0100X Clinic/Center Occupational Medicine
(Licence: DC  MD22148)
Enumeration Date2010-07-19
Last Update Date2011-02-15
Business Address
IMMACULATE MEDICAL SERVICES LLC
106 IRVING ST NW SUITE 308 SOUTH
WASHINGTON, DC 20010-2927
Phone number: 202-877-0400
Mailing Address
IMMACULATE MEDICAL SERVICES LLC
2016 GATEWOOD PL
SILVER SPRING, MD 20903-1505
Phone number: 301-257-5033