REVITALIZE LLC

Internal Medicine Physician

NPI: 1417238015Organization

Specialties, Licenses & Credentials

Family Medicine Physician

Family Medicine

Code: 207Q00000X

H67624(MD)

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

D0050126(MD)

Contact & Hours

Address: 15235 SHADY GROVE RD, SUITE 102
ROCKVILLE, MD 20850
Phone: (301) 330-9430

Quick Facts

NPI: 1417238015
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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