Organization
WALDORF PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLENE VANESSA ROSS MD (MEDICAL DIRECTOR)
(301) 638-0001
Entity
Organization
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 103, WALDORF, MD 20602-3240
(301) 638-0001
(301) 638-5454
Mailing address
3460 OLD WASHINGTON RD, SUITE 103, WALDORF, MD 20602-3240
(301) 638-0001
(301) 638-5454
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0066434
MD
Other
Enumeration date
08/20/2008
Last updated
11/20/2008
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