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Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Parent organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Other names
MedStar Southern Maryland Women's Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Authorized official
JANE E. RAYMOND (V.P. OF PHYSICIAN SERVICES)
(301) 877-4530
Entity
Organization
Contact information
Practice address
11340 PEMBROOKE SQ, SUITE 203, WALDORF, MD 20603-4808
(301) 843-7737
(301) 932-7917
Mailing address
11340 PEMBROOKE SQ, SUITE 203, WALDORF, MD 20603-4808
(301) 843-7737
(301) 932-7917
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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