# DORCHESTER FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1912484668
- **Authorized official:** DR. SARA COULBOURN MD (OWNER)
- **Authorized official phone:** (410) 228-2603

## Contact information

- **Practice address:** 300 DORCHESTER AVE, CAMBRIDGE, MD 21613-2420
- **Practice address phone:** (410) 228-2603
- **Mailing address:** 1518 GARY CREEK RD, CAMBRIDGE, MD 21613-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0080826 | MD | Yes |

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 07/25/2018