Organization
PATUXENT RHEUMATOLOGY ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHA GEORGE MD (MEDICAL DIRECTOR)
(410) 414-3437
Entity
Organization
Contact information
Practice address
995 N. PRINCE FREDERICK BLVD, SUITE 103, PRINCE FREDERICK, MD 20678-3151
(410) 414-3437
(410) 414-3451
Mailing address
PO BOX 424, PRINCE FREDERICK, MD 20678-0424
(410) 414-3437
(410) 414-3451
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D0059442
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121894
FELRA & GEHA
MD
01
—
395A-PA
CAREFIRST
MD
05
—
408633300
—
MD
01
—
7253531
AETNA
MD
01
—
J527
BLUE CHOICE AND FED
MD
Enumeration date
11/05/2007
Last updated
07/16/2024
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