75th Street Medical

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NPI Provider: 1467453266
Contact Name: GONG VICTOR
Position: MEDICAL DIRECTOR
Phone: (410) 524-0075

75th Street Medical Information:

75th Street Medical organization have npi 1467453266, taxonomy code is 207Q00000X with license number is D0032615 in . This Business address located in 7408 Coastal Hwy, Ocean City, MD 21842 Maryland. Get directions of 75th Street Medical.

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Practice Location
Address: 7408 Coastal Hwy, Ocean City, MD 21842
Phone: (410) 524-0075

Business Location

Address: 7408 Coastal Hwy, Ocean City, MD 21842

Phone: (410) 524-0075

Fax: (410) 524-0066

Taxonomy

Taxonomy Code: 207Q00000X

License Number: D0032615

License Number of State: MD

Primary Taxonomy Switch: Y

Enumeration Date: 8/3/2005

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