# MEDSTAR SOUTHERN MARYLAND PHYSICIANS, 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:** Clinton Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801837786
- **Authorized official:** JANE RAYMOND (VICE PRESIDENT)
- **Authorized official phone:** (301) 856-3019

## Contact information

- **Practice address:** 10403 HOSPITAL DRIVE, SUITE 103, CLINTON, MD 20735-3134
- **Practice address phone:** (301) 856-8990
- **Practice address fax:** (301) 856-8994
- **Mailing address:** 10403 HOSPITAL DRIVE, SUITE G-04, CLINTON, MD 20735-3134
- **Mailing address phone:** (301) 856-3019
- **Mailing address fax:** (301) 856-9370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 03/15/2013