Organization
MARYLAND SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KWASI MD (PRESIDENT)
(301) 552-9495
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD STE 123, GLENN DALE, MD 20769-9182
(301) 552-9495
(301) 552-9743
Mailing address
12200 ANNAPOLIS RD STE 123, GLENN DALE, MD 20769-9182
(301) 552-9495
(301) 552-9743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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