# CORYSE BRATHWAITE-DEAN, MD, PC

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

## Provider details

- **NPI number:** 1306099833
- **Authorized official:** CORYSE V BRATHWAITE M.D. (OWNER)
- **Authorized official phone:** (301) 705-6500

## Contact information

- **Practice address:** 3460 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602-3240
- **Practice address phone:** (301) 705-6500
- **Practice address fax:** (301) 705-5822
- **Mailing address:** PO BOX 6438, WALDORF, MD 20603-6438
- **Mailing address phone:** (301) 705-6500
- **Mailing address fax:** (301) 705-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D46239 | MD | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008