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DGENESIS 1326714361

Name: DGENESIS Specialty: Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: . Definition of Specialty: A facility or distinct part of one used for the diagnosis and treatment of outpatients. “Clinic/Center” is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: DGENESIS,6180 SCAGGS RD,OWINGS,MD,207364208,US Mailing Address: DGENESIS,6180 SCAGGS RD,OWINGS,MD,207364208,US
Contact #
Practice location phone #: 3014425109 Practice location fax #: Mailing address Phone #: 3014425109 Mailing Address fax #: Authorized official Name/Telephone #:QUEEN B, O, MUMUNEY, APRN, CEO 3014425109
Date NPI was obtained: 08/19/2021 Last data data was updated: 08/19/2021 Insurances:

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