Provider Demographics
NPI:1215398235
Name:HOWARD COUNTY DIRECT PRIMARY CARE
Entity Type:Organization
Organization Name:HOWARD COUNTY DIRECT PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ORSOLYA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PHD
Authorized Official - Phone:443-864-5503
Mailing Address - Street 1:8895 CENTRE PARK DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1966
Mailing Address - Country:US
Mailing Address - Phone:443-864-5503
Mailing Address - Fax:443-864-5507
Practice Address - Street 1:8895 CENTRE PARK DR
Practice Address - Street 2:SUITE E
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1966
Practice Address - Country:US
Practice Address - Phone:443-864-5503
Practice Address - Fax:443-864-5507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0072571261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care