# PRINCE GEORGE'S HOSPITAL CENTER

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

## Provider details

- **NPI number:** 1184176851
- **Authorized official:** TESHOME TEGENE (PROGRAM DIRECTOR)
- **Authorized official phone:** (201) 590-5104

## Contact information

- **Practice address:** 3500 DEAN DRIVE,, APT K3, HYATTSVILLE, MD 20782
- **Practice address phone:** (201) 590-5104
- **Mailing address:** 3500 DEAN DRIVE,, APT K3, HYATTSVILLE, MD 20782
- **Mailing address phone:** (201) 590-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2016
- **Last updated:** 10/28/2016