Provider Demographics
NPI:1801599733
Name:PROGRESSIVE MULTI MEDICAL SERVICES INC
Entity type:Organization
Organization Name:PROGRESSIVE MULTI MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:OKWUCHI
Authorized Official - Last Name:UWANDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-931-5352
Mailing Address - Street 1:200 N PHILADELPHIA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2568
Mailing Address - Country:US
Mailing Address - Phone:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty