Individual
MR. WILLIAM BIRCHETTE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7909 WINNSBORO DR, FORT WASHINGTON, MD 20744-2162
(301) 518-3032
Mailing address
7909 WINNSBORO DR, FORT WASHINGTON, MD 20744-2162
(301) 518-3032
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
0002473055
MD
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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