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Contact Information

HOLISTIC REPRODUCTIVE WELLNESS GROUP
2806 BREWERS CROSSING WAY
HANOVER, MD21076-2902
 Phone: 480-242-1736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for HOLISTIC REPRODUCTIVE WELLNESS GROUP

NPI Number 1588552640
LBN Legal business name HOLISTIC REPRODUCTIVE WELLNESS GROUP
Authorized official AASTASSHIA LACY - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2025
Last updated 06/26/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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