Clarksburg Med Inc
May also be knows as Clarksburg Medical Center
Internal Medicine Physician in Clarksburg, MD(View on Map)
Legal Business Name
Clarksburg Med Inc
Also Known As
Clarksburg Medical Center
NPI Number
1174728851
NPI Type
Organization
Enumeration Date
06/20/2007
Specialties
(Taxonomies)Name
Code
207R00000X
207QA0505X
207P00000X
207QG0300X
207RG0300X
207W00000X
207RS0012X
Primary Taxonomy
Yes
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
23208 BREWERS TAVERN WAY
23208 BREWERS TAVERN WAY
City
Clarksburg
Clarksburg
State
MD
MD
Postal Code
20871-4391
20871-4391
Country
US
US
Telephone Number
(301) 515-3333
(301) 515-3333
Authorized Official
Name
Harpal Mangat
Title or Position
VICE PRESIDENT
Telephone Number
(301) 515-3333
Identifiers
Identifier
416697300
Identifier State
MD
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/26/2010
Provider Address
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