Organization
PROFESSIONAL SERVICES OF HOLY CROSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KEESE (VP & CFO)
(301) 754-7201
Entity
Organization
Contact information
Practice address
3720 FARRAGUT AVE, KENSINGTON, MD 20895-2110
(301) 949-4242
(301) 949-8041
Mailing address
PO BOX 531863, ATLANTA, GA 30353-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
09/24/2024
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