Provider Demographics
NPI:1922634534
Name:PROGRESSIVE MULTI MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:PROGRESSIVE MULTI MEDICAL SERVICES INC
Other - Org Name:PMMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:OKWUCHI
Authorized Official - Last Name:UWANDU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP/FNP-C
Authorized Official - Phone:443-530-3182
Mailing Address - Street 1:1803 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-3235
Mailing Address - Country:US
Mailing Address - Phone:443-931-5352
Mailing Address - Fax:
Practice Address - Street 1:200 N PHILADELPHIA BLVD STE A
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2568
Practice Address - Country:US
Practice Address - Phone:443-530-3182
Practice Address - Fax:443-399-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-14
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty