Organization
REHOBOTH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MADUFORO DNP, NP-C (CEO)
(240) 254-3375
Entity
Organization
Contact information
Practice address
11223 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(240) 254-3375
(410) 844-6442
Mailing address
11223 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(240) 254-3375
(410) 844-6442
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
06/05/2024
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