Provider Demographics
NPI:1386369486
Name:PRIORITY CARE PRIMARY CARE CLINICS
Entity type:Organization
Organization Name:PRIORITY CARE PRIMARY CARE CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AURA
Authorized Official - Middle Name:
Authorized Official - Last Name:IONITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-522-2727
Mailing Address - Street 1:217 E CHURCHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3825
Mailing Address - Country:US
Mailing Address - Phone:410-838-4717
Mailing Address - Fax:410-838-4917
Practice Address - Street 1:3500 BOSTON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-5251
Practice Address - Country:US
Practice Address - Phone:410-522-0007
Practice Address - Fax:410-522-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty