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Organization
OLDE TOWNE PRIMARY CARE LLC
Active
Organization
OLDE TOWNE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHA BAFI SALEEM MD (MANAGING OWNER)
(202) 316-4407
Entity
Organization
Contact information
Practice address
317 E DIAMOND AVE, C1, GAITHERSBURG, MD 20877-3093
(240) 246-1111
Mailing address
317 E DIAMOND AVE, C1, GAITHERSBURG, MD 20877-3093
(240) 246-1111
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
10/25/2016
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