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Organization
MD MEDICAL INC
Active
Organization
MD MEDICAL INC
Active
Other names
MIRIAM MARTIN MD
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MARTIN (OWNER)
(301) 808-0341
Entity
Organization
Contact information
Practice address
8816 JERICHO CITY DR, LANDOVER, MD 20785-4762
(301) 808-0341
(301) 350-1398
Mailing address
8816 JERICHO CITY DR, LANDOVER, MD 20785-4762
(301) 808-0341
(301) 350-1983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0040898
MD
332900000X
Non-Pharmacy Dispensing Site
D0040898
MD
Other
Enumeration date
11/03/2006
Last updated
11/11/2010
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