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Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Other names
Waldorf Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RAYMOND (VICE PRESIDENT)
(301) 856-3019
Entity
Organization
Contact information
Practice address
10 ST PATRICKS DRIVE, SUITE 203, WALDORF, MD 20603-4527
(301) 843-0222
(301) 843-0651
Mailing address
10403 HOSPITAL DRIVE, SUITE G-4, CLINTON, MD 20735-3134
(301) 856-3019
(301) 856-9370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
03/15/2013
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