# ARZADON FAMILY PRACTICE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Sq. Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447598602
- **Authorized official:** MELISSA D ARZADON M.D. (SOLE PROPRIETOR/PROVIDER)
- **Authorized official phone:** (443) 523-0601

## Contact information

- **Practice address:** 11042 NICHOLAS LN, UNIT B102, BERLIN, MD 21811-3299
- **Practice address phone:** (443) 523-0601
- **Practice address fax:** (410) 973-1453
- **Mailing address:** PO BOX 1340, BERLIN, MD 21811-5340
- **Mailing address phone:** (443) 523-0601
- **Mailing address fax:** (410) 973-1453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0059847 | MD | Yes |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 01/23/2013