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Organization

ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NADEEM ANWAR HASHMI M.D. (VICE PRESIDENT)
(410) 997-2770
Entity
Organization

Contact information

Practice address
10910 LITTLE PATUXENT PARKWAY, #200, COLUMBIA, MD 21044
(410) 997-2770
(410) 997-0066
Mailing address
10910 LITTLE PATUXENT PARKWAY, #200, COLUMBIA, MD 21044
(410) 997-2770
(410) 997-0066

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
D67217
MD
208000000X
Pediatrics Physician
Primary
D0067020
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
D0067020
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
415060102
MD
05
419513200
MD
05
442008000
MD
Enumeration date
12/01/2010
Last updated
09/17/2016
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