Organization Name: | ACCESS PRIMARY CARE LLC |
NPI Number: | 1033550496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH CRISANTI (MEDICAL DIRECTOR) |
Mailing Address: | 12308 Ocean Gtwy Suite 3 Ocean City |
State: | MD US |
Postal Code: | 218429341 |
Phone Number: | 4102130119 |
Fax Number: | 4102132875 |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |