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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.
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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