Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Active
Parent organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Other names
MedStar Southern Maryland Vascular and General Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Authorized official
JANE E RAYMOND (ASSOCIATE VP)
(301) 856-3019
Entity
Organization
Contact information
Practice address
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735-3362
(301) 877-7353
(301) 877-5637
Mailing address
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735-3362
(301) 877-7353
(301) 877-5637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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