Bali Healthcare, Inc.
Family Medicine Physician in Landover, MD(View on Map)
Legal Business Name
Bali Healthcare, Inc.
NPI Number
1699105395
NPI Type
Organization
Enumeration Date
11/15/2013
Specialties
(Taxonomies)Licenses
State
Maryland
License Number
D0052015
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 6854
1841 BRIGHTSEAT RD
City
Largo
Landover
State
MD
MD
Postal Code
20792-6854
20785-4250
Country
US
US
Telephone Number
(301) 364-3300
(301) 364-3300
Authorized Official
Name
Alfred Sibedwo
Title or Position
PRESIDENT/CEO
Telephone Number
(301) 364-3300
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/19/2013
Provider Address
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