Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRANKFIELD-EDMOND (DIVISION MANAGER)
(301) 883-7868
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DR STE 1055, CHEVERLY, MD 20785-1194
(301) 583-3700
(301) 583-3735
Mailing address
1701 MCCORMICK DR STE 240, LARGO, MD 20774-5329
(301) 883-7868
(301) 883-7891
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234843800
—
MD
Enumeration date
09/17/2013
Last updated
11/14/2013
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