Organization
COMPLETE CARE FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY FOSTER (OFFICE MANAGER)
(301) 540-5900
Entity
Organization
Contact information
Practice address
19703 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
(301) 540-5900
Mailing address
19703 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2639
(301) 540-5900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0057921
MD
305R00000X
Preferred Provider Organization
Primary
D0055283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0055283
—
MD
05
—
D0069692
—
MD
05
—
DOO57921
—
MD
Enumeration date
02/26/2007
Last updated
03/14/2013
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