Healthcare Provider Details
I. General information
NPI: 1821195041
Provider Name (Legal Business Name): ASSOCIATES IN PRIMARY CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4701 RANDOLPH RD STE 216
ROCKVILLE MD
20852-2257
US
IV. Provider business mailing address
4701 RANDOLPH RD STE 216
ROCKVILLE MD
20852-2257
US
V. Phone/Fax
- Phone: 301-230-0888
- Fax: 301-230-0888
- Phone: 301-230-0888
- Fax: 301-230-0888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | D005152 |
| License Number State | MD |
VIII. Authorized Official
Name: DR.
DANILO
MOLIERI
Title or Position: PRESIDENT
Credential: MD
Phone: 301-230-0888