MEDICARE: ASSURANCE QUALITY CARE

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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1992370274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE QUALITY CARE

Provider Business Mailing Address
First Line	:	9440 MARLBORO PIKE #330
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772
Country	:	US
Telephone Number	:	202-210-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	9440 MARLBORO PIKE #330
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-2077
Country	:	US
Telephone Number	:	301-899-2210
Fax Number	:	888-205-3238

Authorized Official
Title or Position	:	DIRECTOR
Name	:	EVELYN DELORES MAYE
Credential	:
Telephone Number	:	301-899-2210

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	05/20/2021

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Directions to “ASSURANCE QUALITY CARE ” Practice Location

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