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NPI Code Detail

MEDICARE: AMLAMI 2, INC.

MEDICARE: AMLAMI 2, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician
2152W00000XOptometristDA0637MD

General Provider Information

NPI Number : 1992121669
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMLAMI 2, INC.
Provider Business Mailing Address
First Line : 10101 COLESVILLE RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-2426
Country : US
Telephone Number : 301-754-0101
Fax Number : 301-754-0103
Provider Business Practice Location Address
First Line : 10101 COLESVILLE RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-2426
Country : US
Telephone Number : 301-754-0101
Fax Number : 301-754-0103
Authorized Official
Title or Position : OWNER
Name : MRS. JUDITH POLLAK
Credential :
Telephone Number : 301-754-0101
Provider Enumeration Date : 03/05/2014
Last Update Date : 03/05/2014

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