Provider Demographics
NPI:1053134916
Name:RESTORATIVE HEALTH SOLUTIONS
Entity type:Organization
Organization Name:RESTORATIVE HEALTH SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:OWUSU
Authorized Official - Last Name:AFRIYIE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:443-422-0738
Mailing Address - Street 1:4829 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:PORT REPUBLIC
Mailing Address - State:MD
Mailing Address - Zip Code:20676-2053
Mailing Address - Country:US
Mailing Address - Phone:443-422-0738
Mailing Address - Fax:
Practice Address - Street 1:4829 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:PORT REPUBLIC
Practice Address - State:MD
Practice Address - Zip Code:20676-2053
Practice Address - Country:US
Practice Address - Phone:443-422-0738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care