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Organization
PHYSICIANS FAMILY PRACTICE, CHTRD.
Active
Organization
PHYSICIANS FAMILY PRACTICE, CHTRD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SAMUEL GRANITE MD, FAAFP, CGM (OWNER)
(301) 474-2141
Entity
Organization
Contact information
Practice address
115 CENTERWAY, GREENBELT, MD 20770-1836
(301) 474-2141
(301) 345-3874
Mailing address
115 CENTERWAY, GREENBELT, MD 20770-1836
(301) 474-2141
(301) 345-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
01/22/2009
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