NPI 1225158686

Accuvision Ellicott City INC

Organisation Preferred Provider Organization Ellicott City, MD

Practice location

Address: 10050 Baltimore National Pike Suite F100, Ellicott City, MD 21042-3501
Phone: (410) 461-2020
Fax: (410) 461-2672

Authorised official

Name: Robert Leikin
Title: Owner
Phone: (410) 461-2020

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence TA0888 (MD)

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Registry record

NPI: 1225158686
Entity type: Organization
NPI issued: 30 Mar 2007
Record last updated: 29 Mar 2010

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.