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Organization
ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA
Active
Organization
ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM ANWAR HASHMI M.D. (VICE PRESIDENT)
(410) 997-2770
Entity
Organization
Contact information
Practice address
10910 LITTLE PATUXENT PARKWAY, #200, COLUMBIA, MD 21044
(410) 997-2770
(410) 997-0066
Mailing address
10910 LITTLE PATUXENT PARKWAY, #200, COLUMBIA, MD 21044
(410) 997-2770
(410) 997-0066
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
D67217
MD
208000000X
Pediatrics Physician
Primary
D0067020
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
D0067020
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415060102
—
MD
05
—
419513200
—
MD
05
—
442008000
—
MD
Enumeration date
12/01/2010
Last updated
09/17/2016
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