Organization
GWMFA-MEDICAL FACULTY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KOROTKA (PA-C)
(240) 994-8650
Entity
Organization
Contact information
Practice address
9715 MEDICAL CENTER DR, SUITE 230, ROCKVILLE, MD 20850-3320
(240) 994-8650
Mailing address
9715 MEDICAL CENTER DR, SUITE 230, ROCKVILLE, MD 20850-3320
(240) 994-8650
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PA031061
DC
Other
Enumeration date
07/08/2014
Last updated
07/10/2014
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