South Mountain Family Practice LLC
South Mountain Family Practice LLC is a Clinic/Center in Boonsboro, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9 Saint Paul StBoonsboro, MD 21713-1334
Phone: (301) 432-0623
Fax: (301) 432-0624
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence D0056826 (MD) |
|---|
Record details
| NPI number | 1487844593 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Bodenheimer — Owner · (301) 432-0623 |
| NPI enumerated | July 26, 2007 |
| Last updated in NPPES | June 29, 2011 |
| Mailing address | 9 Saint Paul St, Boonsboro, MD 21713-1334 |