SHADY GROVE HYPERBARIC MEDICINE NPI 1366489783

NPI Information

SHADY GROVE HYPERBARIC MEDICINE is a specialist in Rockville, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SHADY GROVE HYPERBARIC MEDICINE NPI is 1366489783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9901 MEDICAL CENTER DR
ROCKVILLE, MD
ZIP 20850-357
Phone: (301) 279-6550

The provider's authorized official is Joel Buzy .
The authorized official title is Physician and has the following contact phone number (240) 826-7550.

The CLIA number assigned to this NPI record is 21D2099119 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 1/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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