Provider Demographics
NPI:1700649902
Name:IRENE SERVICES
Entity Type:Organization
Organization Name:IRENE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZHENHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-414-1625
Mailing Address - Street 1:5430 CAMPBELL BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-5504
Mailing Address - Country:US
Mailing Address - Phone:443-823-5066
Mailing Address - Fax:443-327-5266
Practice Address - Street 1:5430 CAMPBELL BLVD STE 204
Practice Address - Street 2:
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-5504
Practice Address - Country:US
Practice Address - Phone:443-823-5066
Practice Address - Fax:443-327-5266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty