Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Other names
Breast and Cervical Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE WHITAKER (MANAGER, CLIENT INFORMATION SERVICE)
(301) 883-7861
Entity
Organization
Contact information
Practice address
1801 MCCORMICK DR, SUITE 260, LARGO, MD 20774-5326
(301) 883-3525
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-7861
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74004
BREAST AND CERVICAL CANCE
MD
Enumeration date
06/11/2007
Last updated
08/22/2020
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