Individual
PHYLLIS VICTORIA ACQUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8206 GEORGIA AVE, SILVER SPRING, MD 20910-4519
(301) 960-4682
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258342
VA
207Q00000X
Family Medicine Physician
D0079755
MD
207Q00000X
Family Medicine Physician
MT202228
PA
Other
Enumeration date
06/11/2012
Last updated
02/01/2021
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