Organization
CORYSE BRATHWAITE-DEAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORYSE V BRATHWAITE M.D. (OWNER)
(301) 705-6500
Entity
Organization
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602-3240
(301) 705-6500
(301) 705-5822
Mailing address
PO BOX 6438, WALDORF, MD 20603-6438
(301) 705-6500
(301) 705-5822
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D46239
MD
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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