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Organization

CHARLES J COURTNEY

Active
Other names
Universal Artificial Limb
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHRYN L COURTNEY (MGR.)
(301) 587-6892
Entity
Organization

Contact information

Practice address
8625 16TH ST, SILVER SPRING, MD 20910-2261
(301) 587-6892
(301) 587-2750
Mailing address
8625 16TH ST, SILVER SPRING, MD 20910-2261
(301) 587-6892
(301) 587-2750

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009190813
VA
05
022465600
DC
05
765958000
MD
Enumeration date
12/05/2006
Last updated
07/24/2008
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