Organization
PATIENT FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE SUNTUM RN (DMS)
(301) 497-1820
Entity
Organization
Contact information
Practice address
3357 B CORRIDOR MKT PLACE, LAUREL, MD 20724
(301) 497-1820
(301) 497-5489
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
M45678
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4835368
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
NA
—
MD
Enumeration date
01/08/2007
Last updated
08/22/2020
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