Organization
OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN IGNATIUS PROCTOR SR. MD (OWNER)
(301) 839-6300
Entity
Organization
Contact information
Practice address
6188 OXON HILL RD STE 603, OXON HILL, MD 20745-3152
(301) 839-6300
(301) 839-3002
Mailing address
6188 OXON HILL RD STE 603, OXON HILL, MD 20745-3152
(301) 839-6300
(301) 839-3002
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D38772
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221881000
—
MD
Enumeration date
05/11/2008
Last updated
09/08/2021
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