Organization
MEDSTAR SOUTHERN MARYLAND PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORA J. KUCHKA-CRAIG (CORPORATE VICE PRESIDENT)
(410) 772-6827
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 868-8000
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 868-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/31/2012
Last updated
03/28/2024
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