# WALDORF INTEGRATED HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** New Market Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609844018
- **Authorized official:** JOAN BARKER CMM (OFFICE MANAGER)
- **Authorized official phone:** (301) 645-9551

## Contact information

- **Practice address:** 29015 THREE NOTCH RD, SUITE 1-A, MECHANICSVILLE, MD 20659-3228
- **Practice address phone:** (301) 290-5285
- **Practice address fax:** (301) 290-5287
- **Mailing address:** PO BOX 1565, WALDORF, MD 20604-1565
- **Mailing address phone:** (301) 645-9551
- **Mailing address fax:** (301) 645-0039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 10/26/2007