# SAMUEL G. MALLER M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odenton Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073639118
- **Authorized official:** DR. SAMUEL MALLER M.D. (PRESIDENT)
- **Authorized official phone:** (301) 675-6589

## Contact information

- **Practice address:** 3305 N LEISURE WORLD BLVD, SILVER SPRING, MD 20906-1367
- **Practice address phone:** (301) 598-1590
- **Practice address fax:** (301) 598-1569
- **Mailing address:** PO BOX 709, OLNEY, MD 20830-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0050612 | MD | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020