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Contact Information

OUTREACH RECOVERY II
110 HOSPITAL RD STE 306
PRINCE FREDERICK, MD20678-4046
 Phone: 410-800-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OUTREACH RECOVERY II · (Female)

NPI # 1366022683
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2021
Last updated 07/31/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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