Organization
MEDSTAR HEALTH AT BRANDYWINE
Active
Parent organization
MEDSTAR AMBULATORY SERVICES, INC.
Other names
MedStar Health at Brandywine / Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAR AMBULATORY SERVICES, INC.
Authorized official
JUDY L SYLVESTER (DIRECTOR OF FINANCE AND BILLING)
(301) 877-4564
Entity
Organization
Contact information
Practice address
13950 BRANDYWINE RD, SUITE 125, BRANDYWINE, MD 20613-5815
(301) 782-2220
(301) 782-2221
Mailing address
13950 BRANDYWINE RD, SUITE 125, BRANDYWINE, MD 20613-5815
(301) 782-2220
(301) 782-2221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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