Maryland Healing Waters, LLC
Maryland Healing Waters, LLC is an Internal Medicine Physician in Glen Burnie, Maryland. Licensed in Maryland. Registered with an NPI since 2011.
- Licensed in
- MD
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1414 Crain Hwy N Ste 6AGlen Burnie, MD 21061-9307
Phone: (410) 761-7901
Fax: (410) 761-1031
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence D25559 (MD) |
|---|
Record details
| NPI number | 1366739179 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lawrence Vidaver — Physician · (410) 761-7901 |
| NPI enumerated | June 30, 2011 |
| Last updated in NPPES | May 17, 2024 |
| Certification date | May 17, 2024 |
| Mailing address | 1414 Crain Hwy N Ste 6a, Glen Burnie, MD 21061-9307 |
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