# MEDSTAR HEALTH AT BRANDYWINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDSTAR AMBULATORY SERVICES, INC.
- **Other names:** MedStar Health at Brandywine / Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124474507
- **Legal business name:** MEDSTAR AMBULATORY SERVICES, INC.
- **Authorized official:** JUDY L SYLVESTER (DIRECTOR OF FINANCE AND BILLING)
- **Authorized official phone:** (301) 877-4564

## Contact information

- **Practice address:** 13950 BRANDYWINE RD, SUITE 125, BRANDYWINE, MD 20613-5815
- **Practice address phone:** (301) 782-2220
- **Practice address fax:** (301) 782-2221
- **Mailing address:** 13950 BRANDYWINE RD, SUITE 125, BRANDYWINE, MD 20613-5815
- **Mailing address phone:** (301) 782-2220
- **Mailing address fax:** (301) 782-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 05/04/2016