Whalio Doctors

NPI 1104363035

Quadmed Management, LLC

Organisation Primary Care Clinic/Center Edgewood, MD

Practice location

Address
1701 Trimble Rd, Edgewood, MD 21040-3008
Phone
(844) 708-4822
Mailing address
N53w24700 S Corporate Cir, Sussex, WI 53089-4359

Authorised official

Name
Jamie Durant
Title
Nurse Pratitioner
Phone
(844) 708-4822

Registered specialties

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence R149803 (MD)

Registry record

NPI
1104363035
Entity type
Organization
NPI issued
30 Jan 2017
Record last updated
30 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.