# GOLDSTAR FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639961899
- **Authorized official:** ANNA NGWISAH BOLIMA FNP (OWNER)
- **Authorized official phone:** (301) 792-3798

## Contact information

- **Practice address:** 7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
- **Practice address phone:** (301) 792-3797
- **Mailing address:** 14408 BURSLEM TER, BURTONSVILLE, MD 20866-2014
- **Mailing address phone:** (301) 792-3797

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2025
- **Last updated:** 09/10/2025