Organization
TEMPLE HILLS SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIE BALLENGER (ADMINISTRATOR /CEO)
(301) 899-5140
Entity
Organization
Contact information
Practice address
4333 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-1848
(301) 899-5140
(301) 899-5153
Mailing address
PO BOX 7925, LARGO, MD 20792-7925
(301) 899-5140
(301) 899-5153
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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