NPI 1194938340

Gaudenzia INC

Organisation Clinic/Center Landover, MD

Practice location

Address: 337 Brightseat Rd, Landover, MD 20785-4736
Phone: (301) 324-1201
Fax: (301) 324-1215
Mailing address: 106 W Main St, Norristown, PA 19401-4716

Authorised official

Name: Michael J Moyle
Title: Dir. Fiscal & Corporate Operations
Phone: (610) 239-9600

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 13386 (MD)

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1194938340
Entity type: Organization
NPI issued: 7 May 2007
Record last updated: 22 Aug 2020

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.