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Organization
FORT WASHINGTON PHYSICIANS GROUP
Active
Organization
FORT WASHINGTON PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALEH MOSAVATI (OFFICE MANAGER)
(301) 983-6656
Entity
Organization
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2000
Mailing address
PO BOX 64312, BALTIMORE, MD 21264-4312
(301) 983-6656
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N012
CAREFIRST OF DC GROUP NUM
DC
Enumeration date
04/17/2007
Last updated
04/22/2013
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