NPI 1245740109 · live from the CMS NPI Registry
75th Street Injury & Illness Center LLC
Emergency Medicine in Ocean City, MD. National Provider Identifier 1245740109, active.
NPI record
| NPI | 1245740109 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 7408 Coastal Hwy, Ocean City, MD 21842 |
| Practice phone | 410-524-0075 |
| Mailing address | 12547 Ocean Gtwy, Ocean City, MD 21842 |
| Enumerated | October 5, 2017 |
| Last updated | October 5, 2017 |
| Authorized official | Cynthia Randolph, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.