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NPI Verification

National Provider Identifier: 1104492115

Ennoble Hc Dmv LLC

Organization

Primary Specialty

Family Medicine, Geriatric Medicine

Code: 207QG0300X

Practice Address

8115 MAPLE LAWN BLVD STE 350

FULTON, MD 207592683

Phone: 862-812-9010

NPI Enumeration Date

June 1, 2021

NPI Number

1104492115

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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