Individual
DR. AMINA T WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 SCIENCE DRIVE, SUITE 102, BOWIE, MD 20715
(240) 556-1000
Mailing address
3100 WYMAN PARK DR, BALTIMORE, MD 21211-2803
(240) 556-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0057065
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427093343
GROUP NPI - UPPER MARLBORO FAMILY MEDICAL CENTER
MD
01
—
1851473722
GROUP NPI - MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
MD
01
—
61795003
BCBS MD
MD
05
—
837102400
—
MD
01
—
B776-0016
BCBS DC
DC
Enumeration date
06/27/2005
Last updated
05/09/2013
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