# FAMILY HEALTH CARE CENTER

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

## Provider details

- **NPI number:** 1861580847
- **Authorized official:** DR. JEAN W PRIBADI MD (OWNER)
- **Authorized official phone:** (410) 997-9751

## Contact information

- **Practice address:** 10632 LITTLE PATUXENT PKWY, SUITE 111, COLUMBIA, MD 21044-6212
- **Practice address phone:** (410) 997-9751
- **Practice address fax:** (410) 997-9763
- **Mailing address:** 10632 LITTLE PATUXENT PKWY, SUITE 111, COLUMBIA, MD 21044-6212
- **Mailing address phone:** (410) 997-9751
- **Mailing address fax:** (410) 997-9763

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/28/2007