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NPI Verification

National Provider Identifier: 1104404813

3rdroom Enterprises

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1506 DANWOOD LN

BOWIE, MD 207213230

Phone: 718-781-0585

NPI Enumeration Date

April 1, 2021

NPI Number

1104404813

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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