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Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Other names
Clinton ENT
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RAYMOND (VICE PRESIDENT)
(301) 856-3019
Entity
Organization
Contact information
Practice address
10401 HOSPITAL DRIVE, SUITE G-4, CLINTON, MD 20735-3134
(301) 877-0891
(301) 856-0536
Mailing address
10403 HOSPITAL DRIVE, SUITE G-04, CLINTON, MD 20735-3134
(301) 856-3019
(301) 856-9370
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
03/15/2013
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