Organization
CLARKSBURG MED INC
Active
Other names
Clarksburg Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
HARPAL S MANGAT MD (VICE PRESIDENT)
(301) 515-3333
Entity
Organization
Contact information
Practice address
23208 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 515-3333
(301) 515-3322
Mailing address
23208 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 515-3333
(301) 515-3322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416697300
—
MD
Enumeration date
06/20/2007
Last updated
08/26/2010
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