Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOONGLADE INTEGRATIVE LLC
Active OrganizationMOONGLADE INTEGRATIVE LLC is a Primary Care Clinic organization located in GRANTSVILLE, Maryland. NPI 1568245595 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · GRANTSVILLE, MD
Registration Details
- NPI Number
- 1568245595
- Provider Type
- Organization
- NPI Issued
- Aug 15, 2023 (2.9896660677447 yrs)
- Last Updated
- Feb 12, 2024
Practice Information
- Address
-
3233B CHESTNUT RIDGE RDGRANTSVILLE, MD, 215361370Browse MD providers · Browse ZIP 21536
- Phone
- 2403212770
- Primary Specialty
-
Primary Care Clinic
261QP2300X
- Additional Specialty
- Primary Care Clinic
Other Primary Care Clinic Organizations in GRANTSVILLE, MD
| Name | NPI |
|---|---|
| F DANIEL JACKSON, MD, PA | 1326056904 |
| AFFILIATED PHYSICIANS | 1841497948 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.