# GLENN R. EDGECOMBE, MD,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083966055
- **Authorized official:** DR. GLENN ROBERT EDGECOMBE M.D. (PHYSICIAN)
- **Authorized official phone:** (301) 868-0150

## Contact information

- **Practice address:** 7700 OLD BRANCH AVE, B201, CLINTON, MD 20735-1628
- **Practice address phone:** (301) 868-0150
- **Practice address fax:** (301) 868-0243
- **Mailing address:** 7700 OLD BRANCH AVE, B201, CLINTON, MD 20735-1628
- **Mailing address phone:** (301) 868-0150
- **Mailing address fax:** (301) 868-0243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0023826 | MD | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012